目的:探究射频联合磁电刺激治疗与单一射频治疗对围绝经期/绝经期行全子宫切除术后患者盆底功能治疗效果的差异。方法:选取皖南医学院第二附属医院于2022年1月-2023年11月收治的行全子宫切除手术的围绝经期/绝经期患者,根据术后进行盆底治疗方式的差异分为对照组和观察组各50例,对照组患者术后采用射频治疗,同时联合盆底肌肉锻炼,观察组患者术后采用射频联合磁电刺激治疗,同时进行盆底肌肉锻炼。采用单盲、对照的方式,比较两组患者在不同干预下6个月后的盆底肌肌力、POP-Q评估分度及生活质量评分上的差异。结果:观察组中患者经治疗后,盆底肌肌力、POP-Q分度及生活质量评分均优于对照组,差异具有统计学意义(P<0.05)。结论:对围绝经期/绝经期子宫切除术后患者进行射频联合磁电刺激干预,可使盆底肌肉收缩力得到更为显著的增强,进而改善和预防盆底功能障碍的发生,提高生活质量,因此具有良好的临床应用前景。
Objective: To explore the difference in the effect of radiofrequency combined with magnetoelectric stimulation on pelvic floor function after total hysterectomy in perimenopausal/menopausal patients that compared with single radiofrequency therapy. Methods: Perimenopausal/menopausal patients who underwent total hysterectomy in the Second Affiliated Hospital of Southern Anhui Medical College from January 2022 to November 2023 were divided into control group and experimental group according to the difference of pelvic floor treatment after operation, with 50 cases in each group. The patients in the control group were treated with radio frequency therapy and pelvic floor muscle exercise after operation, while the patients in the experimental group were treated with radio frequency combined with magnetoelectric stimulation and pelvic floor muscle exercise after operation. The patients in the two groups were compared under different interventions in a single-blind and controlled way. Results: After treatment, the pelvic floor muscle strength, POP-Q score and quality of life in the experimental group were better than those in the control group, and the difference was statistically significant (P<0.05). Conclusion: The intervention of radiofrequency combined with magnetoelectric stimulation for patients after perimenopausal/menopausal hysterectomy can significantly enhance the contractility of pelvic floor muscles, thus improving and preventing the occurrence of pelvic floor dysfunction and improving the quality of life, so it has a good clinical application prospect.
[1] Pickett CM, Seeratan DD, Mol B, et al. Surgical approach to hysterectomy for benign gynaecological disease[J]. Cochrane Database Syst Rev, 2023, 8(8): CD3677.
[2] Wright JD, Huang Y, Li H, et al. Nationwide estimates of annual inpatient and outpatient hysterectomies performed in the United States[J]. Obstet Gynecol, 2022, 139(3): 446-448.
[3] Zhu Y, Zhang J, Ji Z, et al. Ultrasound evaluation of pelvic floor function after transumbilical laparoscopic single-site total hysterectomy using deep learning algorithm[J]. Comput Math Methods Med, 2022, 2022: 1116332.
[4] Sendag F, Akdemir A, Zeybek B, et al. Single-site robotic total hysterectomy: standardization of technique and surgical outcomes[J]. J Minim Invasive Gynecol, 2014, 21(4): 689-694.
[5] Johannesson U, Amato M, Forsgren C. Pelvic floor and sexual function 3 years after hysterectomy -a prospective cohort study[J]. Acta Obstet Gynecol Scand, 2024, 103(3): 580-589.
[6] Wang Y, Miao X, Viwattanakulvanid P. Effects of a therapeutic lifestyle modification intervention on cardiometabolic health, sexual functioning and health-related quality of life in perimenopausal Chinese women: protocol fora randomised controlled trial[J]. BMJ Open, 2024, 14(4): e82944.
[7] 吴琮璋, 刘婷婷, 余桂梅, 等. 经阴式全子宫切除术后发生盆底功能障碍的危险因素及预测模型构建[J]. 中国计划生育和妇产科, 2024, 16(1): 49-52.
[8] 吴洁, 袁梦, 陈伟, 等. 盆底磁刺激治疗初产妇产后性功能障碍的临床研究[J]. 中国康复医学杂志, 2022, 37(3): 385-388.
[9] Orlicky DJ, Smith EE, Bok R, et al. Estrogen and androgen receptor status in uterosacral ligaments of women with pelvic organ prolapse stratified by the pelvic organ prolapse histology quantification system[J]. Reprod Sci, 2023, 30(12): 3495-3506.
[10] Gonzalez-Isaza P, Sanchez-Borrego R, Lugo SF, et al. Pulsed magnetic stimulation for stress urinary incontinence and its impact on sexuality and health[J]. Medicina (Kaunas), 2022, 58(12):1721.
[11] Lopopolo G, Salsi B, Banfi A, et al. Is it possible to improve urinary incontinence and quality of life in female patients? A clinical evaluation of the efficacy of top flat magnetic stimulation technology[J]. Bioengineering (Basel), 2022, 9(4):140.
[12] Elhosary EA, Ahmed HH, Ali AF, et al. Effect of monopolar capacitive resistive radiofrequency in treating stress urinary incontinence: a pilot randomized control trial[J]. Front Psychol, 2022, 13: 1062363.
[13] Garzon S, Apostolopoulos V, Stojanovska L, et al. Non-oestrogenic modalities to reverse urogenital aging[J]. Prz Menopauzalny, 2021, 20(3): 140-147.
[14] Fleischmann N, Flisser AJ, Blaivas JG, et al. Sphincteric urinary incontinence: relationship of vesical leak point pressure, urethral mobility and severity of incontinence[J]. J Urol, 2003, 169(3): 999-1002.
[15] 童瑶, 李旭红, 严文广, 等. 射频联合磁刺激治疗对轻中度盆腔器官脱垂的疗效[J]. 中南大学学报(医学版), 2023, 48(11): 1696-1702.
[16] Del FS, Cocchi L, Arena A, et al. Effects of pelvic floor muscle physiotherapy on urinary, bowel, and sexual functions in women with deep infiltrating endometriosis: a randomized controlled trial[J]. Medicina (Kaunas), 2023, 60(1):67.
[17] Alouini S, Memic S, Couillandre A. Pelvic floor muscle training for urinary incontinence with or without biofeedback or electrostimulation in women: a systematic review[J]. Int J Environ Res Public Health, 2022, 19(5):2789.