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題 名 | Efficacy of Pelvic Floor Rehabilitation for Treatment of Genuine Stress Incontinence=應力性尿失禁之骨盆底肌復健的臨床療效 |
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作 者 | 陳慧毅; 張維君; 林武周; 葉聯舜; 徐泰彥; 蔡鴻德; 楊貴雲; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 98:4 1999.04[民88.04] |
頁 次 | 頁271-276 |
分類號 | 416.274 |
關鍵詞 | 應力性尿失禁; 骨盆底肌復健; Pelvic floor rehabilitation; Genuine stress incontinence; |
語 文 | 英文(English) |
英文摘要 | To assess the clinical efficacv of a pelvic floor rehabilitation (PFR) program for treatment of genuine stress incontinence (GSI), we studied 72 patients with slight to moderate (2-10 g of urine loss per hour) or severe (11-50 g of urine loss per hour) GSI who underwent PFR. Objective and subjective assessments were performed before and 3,6,12,18, and 24 months after the start of treatment. The overall success rate (complete cure or marked improvement in symptoms) was 61% (44/72) at the 2-year follow-up. The number of leakages per 24 hours and urine loss in the 1-hour pad test were significantly reduced, and vaginal muscle strength was significantly increased in successfully-treated patients. Significant changes were also observed in symptoms of micturition frequency and nocturia and in volume at first desire to void during cystometry in the treatment success group. Patient compliance with the exercise program was a significant predictor of success. The success rate during the 2-year follow-up period, estimated according to patient compliance, also differed significantly among groups, with good, moderate, and poor compliance. Patients experienced no serious adverse effects. These results show that the PFR program used in this study is an effective alternative to surgical intervention for the treatment of GSI in selected patients. |
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