| 沈乐乐,朱小刚.超声引导穿刺“骶四穴”阴部神经电刺激治疗女性压力性尿失禁临床研究[J].浙江中西医结合杂志,2025,35(8): |
| 超声引导穿刺“骶四穴”阴部神经电刺激治疗女性压力性尿失禁临床研究 |
| Clinical study on ultrasound-guided puncture of the “sacral four acupoints” for the treatment of female stress urinary incontinence with electrical stimulation of the genital nerves |
| 投稿时间：2024-10-06 修订日期：2025-03-16 |
| DOI： |
| 中文关键词: 压力性尿失禁 神经电刺激 骶四穴 超声引导 盆底肌 生活质量 |
| 英文关键词:Stress urinary incontinence Neural electrical stimulation Sacral four acupoints Ultrasound guidance Pelvic floor muscles Quality of life |
| 基金项目:课题项目：湖州市公益性应用研究项目（2019GYB16） |
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| 中文摘要: |
| 目的 探析超声引导穿刺“骶四穴”阴部神经电刺激治疗女性压力性尿失禁(SUI)的临床疗效。方法 选择2020年9月-2023年12月医院就诊94例SUI女性患者,按随机数字表法分为观察组和对照组,各47例。对照组予常规阴部神经电刺激治疗,观察组予超声引导下穿刺“骶四穴”阴部神经电刺激治疗,治疗持续6周。比较两组末次治疗结束1 h疗效、不同时点(治疗前及治疗第 2、4、6 周)尿失禁恢复情况,治疗前、治疗6周后盆底肌结构参数及生活质量。结果 观察组治疗总有效率高于对照组(P＜0.05)；两组治疗各时点国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)评分均较术前降低(P时点＜0.05),且观察组各时点评分均低于对照组(P组间＜0.05)。观察组膀胱颈距离参考线距离、尿道旋转角、膀胱尿道后角、盆底肌裂孔面积水平均低于对照组,尿失禁生活质量问卷(I-QOL)评分高于对照组(P＜0.05)。结论 超声引导穿刺“骶四穴”阴部神经电刺激治疗女性SUI,可以提高临床疗效,更好地改善患者尿失禁症状及盆底肌结构,患者生活质量显著提高。 |
| 英文摘要: |
| Objective: To explore the clinical efficacy of ultrasound-guided puncture of the “sacral four acupoints” for the treatment of female stress urinary incontinence (SUI) through electrical stimulation of the genital nerves. Method: Ninety four female patients with SUI who visited the hospital from September 2020 to December 2023 were randomly divided into an observation group and a control group, with 47 cases in each group, using a random number table method. The control group received conventional pudendal nerve electrical stimulation treatment, while the observation group received ultrasound-guided puncture of the “sacral four acupoints” pudendal nerve electrical stimulation treatment, which lasted for 6 weeks. The efficacy of two groups were compared at the end of the last treatment 1 hour, the recovery of urinary incontinence at different time points (before treatment and at 2, 4, and 6 weeks of treatment), pelvic floor muscle structure parameters and quality of life before and after 6 weeks of treatment. Results The total effective rate of the observation group was higher than that of the control group (P<0.05). The ICI-Q-SF scores of the International Advisory Committee on Urinary Incontinence Questionnaire (IC-Q-SF) for both treatment groups decreased compared to preoperative levels at all time points (P Time points<0.05), and the observation group had lower scores than the control group at all time points (P Inter groups<0.05). The observation group had lower average distances from the bladder neck to the reference line, urethral rotation angle, bladder urethral posterior angle, and pelvic floor muscle hiatus surface water accumulation compared to the control group. The urinary incontinence quality of life questionnaire (I-QOL) score was higher than that of the control group (P<0.05). Conclusion: Ultrasound guided puncture of the “sacral four acupoints” for the treatment of female SUI can improve clinical efficacy, better alleviate urinary incontinence symptoms and pelvic floor muscle structure, and significantly enhance the quality of life of patients. |
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