首页|AI温控射频在阴道松弛症治疗中的应用

AI温控射频在阴道松弛症治疗中的应用

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目的:探索AI温控射频治疗阴道松弛症(VLS)的效果.方法:收集VLS患者36例,分为温控射频组及生物反馈电刺激组,比较两组患者治疗前后的相关指标.结果:射频组、电刺激组患者治疗后主观评级较治疗前改善者分别为15、9例.射频组的VLQ治疗后较治疗前提高15例,SSQ治疗后较前改善16例,差异有统计学意义(P<0.05);射频组的FSFI、POP-Q、肌力检测、盆底彩超相关值均较治疗前有所改善,其中FSFI治疗后3、6个月较治疗前提高,治疗后6个月较治疗后3个月提高(P<0.05);Aa点治疗后1、3、6个月较治疗前上移,治疗后3、6个月较治疗后1个月上移(P<0.05);Ap点治疗后6个月较治疗前上移(P<0.05);C点治疗后1、3、6个月较治疗前上移,治疗后3、6个月较治疗后1个月上移(P<0.05);D点治疗后1、3、6个月较治疗前上移,治疗后6个月较治疗后1个月上移(P<0.05);盆底三维彩超Valsalva状态下膀胱颈位置治疗后1、3个月较治疗前上移,治疗后3个月较治疗后1个月上移(P<0.05);静息状态下宫颈最低点位置治疗后1个月较治疗前上移(P<0.05);Valsalva状态下宫颈最低点位置治疗后3个月较治疗前上移(P<0.05).盆底肌电检测快肌最大值治疗后6个月较治疗前及治疗后1、3个月均增大(P<0.05);慢肌平均值治疗后1、3、6个月较治疗前增大,治疗后6个月较治疗后1个月增大(P<0.05);温控射频与电刺激治疗后1个月肌力检测差异均无统计学意义(P>0.05).结论:AI温控射频与生物反馈电刺激均可以用于提升患者盆底肌力水平.AI温控射频能够明显改善阴道松弛症状,有效改善女性性功能,是VLS非手术治疗的新选择.
Application of AI temperature controlled radiofrequency in vaginal laxity
Objective:To observe the efficacy of AI temperature-controlled radiofrequency in the treatment of vaginal laxity.Methods:Thirty-six women with vaginal laxity were recruited,and assigned to temperature-controlled radiofrequency treatment group(RF group)and biofeedback electrostimulation group.Then the indicators before and following treatment were compared between groups.Results:By subjective rating the symptom improvement after treatment,the number of self-reported improvement in RF group and electrostimulation group was 15 and 9 cases,respectively.The treatment response to the Vaginal Laxity Questionnaire(VLQ)and Sexual Satisfaction Questionnaire(SSQ)showed that 15 and 16 women,respectively,in the RF group declared improvement after treatment(P<0.05).The Female Sexual Function Index(FSFI),Pelvic Organ Prolapse Quantitation(POP-Q),muscle strength measurement,and related values in pelvic floor ultrasound examination were also improved in RF group.The FSFI was improved at 3 and 6 months compared to that before treatment,and the improvement was better at the 6th month compared to that at the 3 rd month after treatment(P<0.05).Point Aa was raised at 1,3,and 6 months after treatment,and the lift was more obvious at 3 and 6 months compared to that at 1 month after treatment(P<0.05).Point Ap was lifted at 6 months after treatment(P<0.05).Points C and D were pulled up at 1,3 and 6 months following treatment,and the elevation was predominant at 3 and 6 months compared to that at 1 month after radiofrequency therapy(P<0.05).Under the Valsalva test state in pelvic floor 3D ultrasound,the position of the bladder neck was uplifted at 1 and 3 months after treatment,and the elevation was more obvious at the 3 rd month compared to that at the 1st month following treatment(P<0.05).The lowest point of the cervix at rest was moved up one month after treatment(P<0.05),and the lowest point of the cervix in Valsalva test state was raised at 3 months after treatment(P<0.05).The maximum value of fast muscle detected by pelvic floor electromyography was increased at 6 months after treatment compared to that before treatment and at 1 and 3 months after treatment(P<0.05);The average value of slow muscles was also increased at 1,3,and 6 months after treatment,and the increase was dominant at 6 months compared to that at 1 month after treatment(P<0.05).There was no significant difference in the muscle strength measured at 1 month after treatment by the two techniques(P>0.05).Conclusion:AI temperature-controlled radiofrequency and biofeedback electrostimulation may improve the strength of pelvic floor muscles,yet the former should be the optimal option for non-surgical treatment of vaginal relaxation,because it can greatly improve the symptom of vaginal laxity and sexual function of the female victim.

AI temperature-controlled radiofrequencyvaginal laxityfemale pelvic floor dysfunctionbiofeedback electrostimulation

李珊、丁锦、倪观太

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马鞍山市人民医院 妇产科,安徽 马鞍山 243000

皖南医学院第一附属医院弋矶山医院 妇产科,安徽 芜湖 241001

AI温控射频 阴道松弛症 女性盆底功能障碍性疾病 生物反馈电刺激

芜湖市科技计划弋矶山医院三新项目

2021cg37Y21016

2024

皖南医学院学报
皖南医学院

皖南医学院学报

CSTPCD
影响因子:0.695
ISSN:1002-0217
年,卷(期):2024.43(1)
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