中国实用妇科与产科杂志2025，Vol.41Issue(6)：658-661,4.DOI:10.19538/j.fk2025060117
两种新型能量技术治疗压力性尿失禁临床疗效观察
Clinical efficacy of two new energy techniques in the treatment of stress urinary incontinence
摘要
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.关键词
压力性尿失禁/经阴道/二氧化碳激光/温控射频Key words
stress urinary incontinence/transvaginal/CO2 laser/temperature-controlled radiofrequency分类
医药卫生引用本文复制引用
郑小花,宋岩峰,陈春花,王晓晓,林超琴,徐颖..两种新型能量技术治疗压力性尿失禁临床疗效观察[J].中国实用妇科与产科杂志,2025,41(6):658-661,4.基金项目
中国整形美容协会专项基金(FRPR2020-wksp-01) （FRPR2020-wksp-01）
福建省科技创新资金(2020Y9136) （2020Y9136）
福建省自然科学基金(2024J110055) Multi-center Clinical Trial of Treatment of Pelvic Floor Related Diseases with AI Temperature-controlled Radiofrequency Technology(FRPR2020-wksp-01) （2024J110055）
Joint Funds for the Innovation of science and Technology,Fujian Province(2020Y9136) （2020Y9136）
Fujian Provincial Natural Science Foundation(2024J110055) （2024J110055）
