【摘要】 目的 探讨经阴道铒激光治疗联合经阴道无张力尿道悬吊术(TVT)治疗女性压力性尿失禁的临床疗效。方法 2023年9月～2024年9月收治的压力性尿失禁女性病人60例。采用随机数字表法将60例病人随机分为两组，对照组30例，采用TVT进行治疗并进行常规管理，研究组30例，采用经阴道铒激光治疗联合TVT治疗方案后联合针对性管理方案，比较两组临床疗效、中文版尿失禁自我效能量表(GSE-UI)评分、焦虑自评量表(SAS)与抑郁自评量表(SDS)评分、尿失禁生活质量量表(I-QOL)评分。结果 研究组治疗有效率为96.67%,高于对照组的80%,差异有统计学意义(P<0.05);研究组治疗后1个月GSE-UI评分为(82.40±5.52)分、3个月GSE-UI评分为(101.50±5.78)分，高于对照组的(66.10±4.45)分、(75.56±5.00)分，差异有统计学意义(P<0.05);研究组治疗后1个月SAS评分为(48.00±1.21)分、3个月为(37.11±1.00)分，对照组分别为(58.85±4.22)分、(52.00±2.05)分；研究组干预后1个月SDS评分为(47.21±2.00)分，3个月为(37.17±1.02)分，对照组分别为(56.63±5.21)分、(50.00±2.25)分；研究组治疗后1个月、3个月I-QOL评分为分别为(68.89±7.21)分、(80.28±10.00)分，对照组分别为(55.87±6.03)分和(70.00±7.52)分，两组比较差异有统计学意义(P<0.05)。结论 经阴道铒激光照射联合TVT术后联合针对性管理方案对女性压力性尿失禁的治疗效果显著，病人负性情绪、自我效能及生活质量均显著改善。更多还原

【Abstract】 Objective To explore the efficacy of transvaginal erbium laser treat combined with transvaginal tension-free urethral suspension(TVT) in the treatment of female stress urinary incontinence.Methods From September 2023 to September 2024,60 female patients with stress urinary incontinence were selected as the research object.The study subjects were randomly divided into a control group(n=30 cases) using TVT surgery for treatment and nursing care, and a study group(n=30 cases) using transvaginal erbium laser irradiation combined with TVT surgery treatment program followed by a combined targeted nursing care program, comparing the clinical efficacy of the two groups.The Chinese version of the urinary incontinence self-efficacy scale(GSE-UI) The clinical efficacy, Chinese version of the urinary incontinence self-efficacy scale(GSE-UI),anxiety self-assessment scale(SAS) and depression self-assessment scale(SDS),and urinary incontinence quality of life scale(I-QOL) were compared between the two groups.Results The treatment efficacy rate of the study group was 96.67%(29/30),significantly higher than the control group’s 80%(24/30)(P<0.05).One month after the intervention, the GSE-UI score in the study group was 82.40±5.52,and three months later, it was 101.50±5.78,both significantly higher than the control group’s scores of 66.10±4.45 and 75.56±5.00(P<0.05).One month after the intervention, the SAS score in the study group was 48.00±1.21,and three months later, it was 37.11±1.00.One month after the intervention, the SDS score in the study group was 47.21±2.00,and three months later, it was 37.17±1.02,both significantly lower than the control group’s SAS score of 58.85±4.22 and 52.00±2.05,and the SDS score of 56.63±5.21 and 50.00±2.25(P<0.05).One month and three months after the intervention, the I-QOL score in the study group was 68.89±7.21 and 80.28±10.00,respectively, both significantly higher than the control group’s scores of 55.87±6.03 and 70.00±7.52(P<0.05).Conclusion Transvaginal erbium laser irradiation combined with TVT postoperative combined targeted nursing program has significant therapeutic effects on female stress urinary incontinence, and patients’ negative emotions, self-efficacy, and quality of life were significantly improved after treatment.更多还原