【摘要】 目的 比较经阴道点阵式CO₂激光与人工智能（AI）温控射频治疗压力性尿失禁的中远期临床疗效。方法 回顾性分析2020年1月至2022年5月因压力性尿失禁于福建省妇幼保健院门诊行盆底康复治疗患者100例完整的病例资料，其中46例行点阵式CO₂激光治疗（激光组），54例行AI温控射频治疗（射频组）。疗程结束后6、12个月比较两组患者的临床疗效（1h尿垫）、国际尿失禁委员会尿失禁问卷简表（ICI-Q-SF）评分。结果 治疗后6个月，激光组与射频组有效率分别为91.3%（42/46）、72.2%（39/54），激光组总有效率高于射频组（P<0.05），尤其是对于轻度尿失禁（96.4%vs.60.0%）及年龄>40岁（88.5%vs.60.0%）患者，两组ICI-Q-SF评分与治疗前相比均降低，两组间比较激光组评分低于射频组[（5.21±3.07）分vs.（6.59±3.64）分，P<0.05]；治疗后12个月与治疗后6个月相比，激光组有效率降低（65.2%vs.91.3%,P<0.05），射频组有效率差异无统计学意义（68.5%vs.72.2%,P>0.05），两组间有效率及ICI-Q-SF评分比较差异均无统计学意义。结论 经阴道点阵式CO₂激光、AI温控射频均可有效治疗压力性尿失禁，治疗后6个月激光疗效优于AI温控射频，尤其对于轻度尿失禁和年龄>40岁患者，治疗后12个月激光与AI温控射频疗效相近。更多还原

【Abstract】 Objective To compare the mid-term and long-term clinical efficacy of transvaginal dot-matrix CO₂ laser with that of AI temperature-controlled radiofrequency in the treatment of stress urinary incontinence.Methods Complete data of 100 patients who received treatment for stress urinary incontinence in outpatient department from January 2020 to May 2022 were retrospectively analyzed.Among them,46 patients received dot-matrix CO₂ laser therapy（laser group）and 54 patients received AI temperature-controlled RF therapy（RF group）.At 6 and 12 months after the end of treatment the clinical efficacy（1-hour urine pad）and the Urinary Incontinence Questionnaire（ICI-Q-SF） score of the International Urinary Incontinence Committee were compared between the two groups.Results At 6 months,the effective rate of laser group and RF group was 91.3%（42/46） and 72.2%（39/54）.The total effective rate in laser group was higher than that in RF group（P<0.05）,especially in patients with mild urinary incontinence（96.4% vs.60.0%） or age>40 years old（88.5% vs.60.0%）.The ICI-Q-SF score of the two groups was lower than before treatment,and the score of the laser group was lower than that of the RF group[（5.21±3.07） vs.（6.59±3.64）,P<0.05].At 12 months,the effective rate in laser group was lower than that at 6 months（91.3% vs.65.2%,P<0.05）,but there was no significant difference in RF group（72.2% vs.68.5%,P>0.05）.There was no significant difference in effective rate or ICI-Q-SF score between the two groups.Conclusion Both transvaginal dot-matrix CO₂ laser and AI temperature-controlled radiofrequency therapy are effective in the treatment of stress urinary incontinence,and the effect of laser therapy is better than that of radiofrequency after 6 months, especially for patients with mild urinary incontinence or age>40 years,but the effect of them are similar after 12 months.更多还原