[1]吕坚伟,吕婷婷,司俊文,等.经尿道Er:YAG铒激光治疗女性轻中度压力性尿失禁的疗效分析[J].现代泌尿外科杂志,2019,(4):268-271.[doi:10.3969/j.issn.10098291.2019.04.005]
 LV Jian-wei,LV Ting-ting,SI Jun-wen,et al.Non-ablative transurethral Erbium YAG laser in the treatment of female stress urinary incontinence[J].Journal of modern urology,2019,(4):268-271.[doi:10.3969/j.issn.10098291.2019.04.005]
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经尿道Er:YAG铒激光治疗女性轻中度压力性尿失禁的疗效分析()
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《现代泌尿外科杂志》[ISSN:1009-8291/CN:61-1374/R]

卷:
期数:
2019年4期
页码:
268-271
栏目:
临床研究
出版日期:
2019-04-22

文章信息/Info

Title:
Non-ablative transurethral Erbium YAG laser in the treatment of female stress urinary incontinence
作者:
吕坚伟1吕婷婷1司俊文1方伟林1蒋晨1冷静2薛蔚2
( 1.上海交通大学医学院附属仁济医院南院泌尿外科,上海201112;2.上海交通大学医学院附属仁济医院泌尿外科,上海 200127)
Author(s):
LV Jian-wei1LV Ting-ting1SI Jun-wen1FANG Wei-lin1JIANG Chen1LENG Jing1XUE Wei2
(1.Department of Urology,South Campus of Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200112; 2.Department of Urology,Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200127,China)
关键词:
Er:YAG铒激光压力性尿失禁SMOOTH模式
Keywords:
Er:YAG laser stress urinary incontinence SMOOTH
分类号:
R69
DOI:
10.3969/j.issn.10098291.2019.04.005
文献标志码:
A
摘要:
目的评估经尿道Er:YAG铒激光治疗女性轻中度压力性尿失禁的疗效性和安全性,为临床治疗女性压力性尿失禁提供新的治疗思路。方法选取2017年9月至2018年5月期间86例女性轻中度压力性尿失禁患者为研究对象,分为两组:试验组47例,接受3次经尿道的Er:YAG铒激光SMOOTH模式治疗,每次治疗间隔30 d;对照组39例,接受24次生物反馈电刺激理疗,每周2次,每次30 min,共治疗3个月。分别记录治疗前、后及治疗后3个月的ICIQ-SF问卷评分、1 h尿垫试验、腹腔漏尿点压(ALPP)和最大尿道闭合压(MUCP),进行统计分析比较。结果经3个月随访,47例试验组患者43例有效(91.5%),39例对照组患者28例有效(71.8%),两组间有显著的统计学差异(P<0.01)。两组治疗前后ICI-Q-SF问卷评分、1 h尿垫试验、ALPP和MUCP,均有明显统计学差异(P<0.01),进一步进行组间分析,试验组的改善程度更优于对照组(P<0.05)。所有患者治疗期间均无不良反应。结论经尿道Er:YAG铒激光治疗女性轻中度压力性尿失禁安全有效,长期疗效仍需进一步观察。
Abstract:
Objective〖WT5”B1〗To explore the efficacy and safety of non-ablative transurethral Erbium YAG(Er:YAG) laser therapy for mild and moderate female stress urinary incontinence(SUI).〖WT5FZ〗Methods〖WT5”B1〗A total of 86 patients with mild or moderate SUI treated during Sept.2017 and May 2018 were enrolled and divided into two groups.The treatment group(n=47) received transurethral Er:YAG laser noninvasive SMOOTH treatment 3 times,with an interval of 30 days.The control group(n=39) received biofeedback electrical stimulation therapy 24 times,twice a week,30 minutes for each time,for a total of 3 months.The results of ICI-Q-SF,1h urine cushion test,ALPP and MUCP were recorded before,after and 3 months after treatment for comparative analysis.〖WT5FZ〗Results〖WT5”B1〗After the 3-month follow-up,the effective rate was 91.5〖WTBZ〗%〖WT5”B1〗 in the treatment group and 71.8〖WTBZ〗%〖WT5”B1〗 in the control group,with a statistically significant difference between the two groups(P<0.01).The results of ICI-Q-SF,1h urine pad test,ALPP and MUCP were significantly different between the two groups before and after treatment(P<0.01).The treatment group showed greater improvement than the control group(P<0.05).No adverse reactions were observed during treatment.〖WT5FZ〗Conclusion〖WT5”B1〗Transurethral Er:YAG laser is safe and effective in the treatment of mild and moderate female SUI,but the long-term efficacy still needs further observation.

参考文献/References:

[1] ABRAMS P,CORDOZA L,FALL M,et al.The standardisation of terminology in lower urinary tract function:report from the standardisation subcommittee of the International Continence Society[J].Urology,2003,62:37-49.
[2] DAVILA GW.Nonsurgical outpatient therapies for the management of female stress urinary incontinence:long-erm effectiveness and durability[J].Adv Urol,2011,1:1-14.
[3] FISTONIC N,FISTONIC I,LUKANOVIC A,et al.First assessment of shortterm efficacy of Er:YAG laser treatment on stress urinary incontinence in women:prospective cohort study [J].Climacteric,2015,18( Supp1 1):37-42.
[4] 中华医学会妇产科学分会妇科盆底学组.女性压力性尿失禁诊断和治疗指南(2017)[J].中华妇产科杂志,2017,52,(5):289-293.
[5] 郑少斌,宋波,杨勇,等.女性压力性尿失禁诊断治疗指南[M]∥那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病诊断治疗指南.2014版.北京:人民卫生出版社,2013:334-340.
[6] MOORE RD,SERELS SR,DAVILA GW,et al.Minimally invasive treatment for female stress urinary incontinence(SUI):a review including TVT,TOT,and mini-sling[J].Surgical Technology International,2009,18:157-173.
[7] 马凤清,王惠珍.行为干预对成年女性压力性尿失禁患者生活质量的影响[J].护理学报,2011,18(8):5-7.
[8] STEWART F,BERGHMANS B,BE K,et al.Electrical stimulation with non-implanted devices for stress urinary incontinence in women[J].Cochrane Database Syst Rev,2017,12:CD012390.
[9] BAINES G,JACKSON SR,PRICE N.Obturator nerve injury:a rare complication of retropubic tension-free vaginal sling[J].Int Urogynecol J,2016,27(10):1597-1599.
[10] GASPAR A,BRANDI H,GOMEZ V,et al.Efficacy of Erbium:YAG laser treatment compared to topical estriol treatment for symptoms of genitourinary syndrome of menopause[J].Lasers Surg Med,2017,49(2):160-168.
[11] GASPAR A,BRANDI H.Non-ablative erbium YAG laser for the treatment of type III stress urinary incontinence(intrinsic sphincter deficiency)[J].Lasers Med Sci,2017,32(3):685-691.
[12] BIZJAK-OGRINC U,SENCAR S.Erbium:YAG thermal laser therapy for higher grade pelvic organ prolapses-a 12 month follow up[J].Int Urogynecol J,2015,26 :S157-S159.
[13] MOTHES AR,RUNNEBAUM M,RUNNEBAUM IB,et al.Ablative dual-phase Erbium:YAG laser treatment of atrophy-related vaginal symptoms in post-menopausal breast cancer survivors omitting hormonal treatment[J].J Cancer Res Clin Oncol,2018,144(5):955-960.

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更新日期/Last Update: 2019-04-22