余永金　李绍康　廖伟东　任志宏　谭娜　汪义平　汪德安

【摘要】 目的：探讨经会阴盆底超声评估排针针刺治疗女性压力性尿失禁（Stress urinary incontinence，SUI）疗效的价值。方法：选取2015年7月-2017年3月本院接收的女性SUI患者35例，患者均按照中医辨证疗法实施排针针刺治疗，在针刺治疗完成后，比较治疗前后经会阴盆底超声检查的相关指标。结果：治疗后静息状态、Valsalva动作状态下的超声检查相关参数均优于治疗前，差异均有统计学意义（P<0.05）。治疗前后在静息状态下尿道漏斗形成比较，差异无统计学意义（P>0.05），而治疗后Valsalva动作下尿道漏斗形成优于治疗前，差异有统计学意义（P<0.05）。结论：排针针刺治疗女性SUI临床效果显著，而经会阴盆底超声在女性SUI治疗效果评估方面有重要的应用价值，值得推广应用。

【关键词】 女性压力性尿失禁； 排针针刺治疗； 经会阴盆底超声评估； 治疗效果

Transperineal Pelvic Ultrasound Assessment of Needle Acupuncture in the Treatment of Female Stress Urinary Incontinence Value/YU Yong-jin，LI Shao-kang，LIAO Wei-dong，et al.//Medical Innovation of China，2017，14（27）：041-044

【Abstract】 Objective：To investigate the clinical effect of transperineal pelvic ultrasound assessment of needle acupuncture for treatment of female stress urinary incontinence in value.Method：35 female SUI from July 2015 to March 2017 in our hospital were selected，they were according the implementation of Chinese medicine therapy needle acupuncture treatment，after the acupuncture treatment，relevant indicators of transperineal ultrasonography of before and after treatment were compared.Result：After treatment，the ultrasonic parameters of the resting state and Valsalva exercise state were better than those before treatment，and the differences were statistically significant（P<0.05）.The resting urethral funnel form of before and after treatment were compared，the difference was not statistically significant（P>0.05），after treatment，the urethral funnel formation under Valsalva maneuver was better than that before treatment，and the difference was statistically significant（P<0.05）.Conclusion：The clinical effect of needle acupuncture for treatment of female SUI significantly，and has an important application value of transperineal ultrasound in assessing the therapeutic effect of pelvic SUI among women，it is worthy of popularization and application.

【Key words】 Female stress urinary incontinence； Acupuncture Treatment； Evaluation of transperineal pelvic ultrasound； Treatment effect

First-authors address：Yantian District Peoples Hospital Group of Shenzhen，Shenzhen 518083，China

doi：10.3969/j.issn.1674-4985.2017.27.012

壓力性尿失禁（Stress urinary incontinence，SUI）属于女性常见的盆底疾病，国际尿控协会（International Continence Society，ICS）提出SUI定义为：腹压的突然增加导致尿液不自主流出，不是由逼尿肌收缩压或膀胱壁对尿液的张力压引起的。其特点是正常状态下无遗尿，而腹压突然增高时尿液自动流出，如咳嗽、大笑、打喷嚏、跳跃、搬重物时，尿液不自主地从尿道口漏出的现象。诊断主要依据主观症状和客观检查，并需除外其他疾病。通常通过询问患者相关疾病史、临床症状以及相关检查可确诊。SUI的存在，可对患者造成较大影响，不仅使患者产生各种负面情绪，而且频繁的SUI还会引起患者出现湿疹、褥疮、皮肤感染、泌尿系统炎症等[1]。对于轻中度女性SUI治疗主要以非手术治疗为主，大量的临床数据显示中医针灸是一种行之有效的治疗方案，而排针针刺治疗方法是其中一种，但SUI患者治疗后的临床评价尚没有统一的标准，针刺前后女性盆底变化部位不明确，排针对盆底作用机制不清楚。……