生物反馈电刺激对腹腔镜下子宫悬吊术后盆腔器官脱垂的临床疗效

于雪梅; 陈炜; 廖茜

doi:10.11659/jjssx.02E023003

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生物反馈电刺激对腹腔镜下子宫悬吊术后盆腔器官脱垂的临床疗效

临床研究 | 更新时间：2024-04-01

- 生物反馈电刺激对腹腔镜下子宫悬吊术后盆腔器官脱垂的临床疗效
- Clinical efficacy of biofeedback and electrical stimulation on pelvic organ prolapse after laparoscopic uterine suspension
- 局解手术学杂志 2024年33卷第3期页码：222-225
- 作者机构：
  
  四川绵阳四〇四医院妇科，四川绵阳 621000
- 作者简介：
  
  于雪梅，E-mail：869381709@qq.com
- 基金信息：
  
  四川省绵阳市卫生和计划生育委员会科研课题(18PJ016)
- DOI：10.11659/jjssx.02E023003
  中图分类号： R711.23
- 纸质出版日期：2024-03-25，
  
  收稿日期：2023-02-01，
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于雪梅,陈炜,廖茜.生物反馈电刺激对腹腔镜下子宫悬吊术后盆腔器官脱垂的临床疗效[J].局解手术学杂志,2024,33(03):222-225.

YU Xue-mei,CHEN Wei,LIAO Qian.Clinical efficacy of biofeedback and electrical stimulation on pelvic organ prolapse after laparoscopic uterine suspension[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(03):222-225.
于雪梅,陈炜,廖茜.生物反馈电刺激对腹腔镜下子宫悬吊术后盆腔器官脱垂的临床疗效[J].局解手术学杂志,2024,33(03):222-225. DOI： 10.11659/jjssx.02E023003.

YU Xue-mei,CHEN Wei,LIAO Qian.Clinical efficacy of biofeedback and electrical stimulation on pelvic organ prolapse after laparoscopic uterine suspension[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(03):222-225. DOI： 10.11659/jjssx.02E023003.

摘要

目的

分析生物反馈电刺激对腹腔镜下子宫悬吊术后盆腔器官脱垂（POP）的临床疗效。

方法

选取本院收治的POP患者102例，按照随机数字表法分为对照组和观察组，每组51例。对照组患者采用腹腔镜下子宫悬吊术治疗，观察组患者在对照组的基础上联合生物反馈电刺激治疗。比较2组患者总有效率、盆底障碍功能问卷-20（PFDI-20）评分、盆底障碍影响简易问卷-7（PFIQ-7）评分、性功能评分量表（FSFI）评分、性生活质量问卷（PISQ）评分及复发率。采用神经肌肉刺激治疗仪检测患者治疗前后盆底肌恢复情况。

结果

与对照组相比，观察组患者疗效较优（

0.05）。治疗后2组患者PFDI-20和PFIQ-7评分较治疗前降低（

0.05），且观察组患者治疗后PFDI-20和PFIQ-7评分低于对照组（

0.05）。治疗后2组患者盆底肌肌力、最大肌收缩力和持续收缩时间均较治疗前显著增强/延长（

0.05），且观察组患者治疗后盆底肌肌力、最大肌收缩力和持续收缩时间强/长于对照组（

0.05）。治疗后2组患者FSFI和PISQ评分较治疗前显著升高（

0.05），且观察组患者治疗后FSFI和PISQ评分高于对照组（

0.05）。观察组患者治疗后复发率显著低于对照组（

0.05）。

结论

生物反馈电刺激可以提高腹腔镜下子宫悬吊术治疗POP的临床疗效，改善患者的盆底肌力和POP情况，从而提高患者的生活质量。

Abstract

Objective

To analyze the clinical efficacy of biofeedback and electrical stimulation on pelvic organ prolapse （POP） after laparoscopic uterine suspension.

Methods

A total of 102 cases of POP patients admitted to our hospital were selected and divided into the control group and the observation group according to the random number table method， with 51 cases in each group.The patients in the control group were treated with laparoscopic uterine suspension， and the patients in the observation group were treated with biofeedback and electrical stimulation on the basis of the control group.The total effective rate， pelvic floor distress inventory-20 （PFDI-20） score，pelvic floor impact questionnaire-7 （PFIQ-7） score，female sexual function index （FSFI） score， pelvic incontinence sexual questionnaire （PISQ） score，and recurrence rate of the patients in the two groups were compared.A neuromuscular electrical stimulation therapy instrument was used to detect the recovery of pelvic floor muscle for patients before and after treatment.

Results

Compared with the control group，the efficacy of patients in the observation group was superior （

0.05）.The PFDI-20 and PFIQ-7 scores after treatment of patients in the two groups were decreased compared with those before treatment （

0.05），and the PFDI-20 and PFIQ-7 scores after treatment of patients in the observation group were lower than those in the control group （

0.05）.The pelvic floor muscle strength， maximal muscle contraction force and sustained contraction time after treatment of patients in the two groups were significantly stronger/longer than those before treatment （

0.05），and the pelvic floor muscle strength，maximal muscle contraction force and sustained contraction time after treatment of patients in the observation group were stronger/longer than those in the control group （

0.05）.The FSFI and PISQ scores after treatment of patients in the two groups were significantly increased compared with those before treatment （

0.05），and the FSFI and PISQ scores after treatment in the observation group were higher than those in the control group （

0.05）.The recurrence rate after treatment of patients in the observation group was significantly lower than that in the control group （

0.05）.

Conclusion

Biofeedback and electrical stimulation can enhance the clinical efficacy of laparoscopic uterine suspension in the treatment of POP，improve the pelvic floor muscle strength and POP of patients， and improve their quality of life.

关键词

生物反馈电刺激腹腔镜子宫悬吊术盆腔器官脱垂临床疗效

Keywords

biofeedback and electrical stimulationlaparoscopyuterine suspensionpelvic organ prolapseclinical efficacy

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