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Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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电刺激加上生物反可以改善排尿功能,盆地功能和重建性手术后的痛苦:一项随机对照试验.

Aiming Lv1, Tianzi Gai1, Sichen Zhang1

  • 1Department of Obstetrics and Gynecology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.

International journal of colorectal disease
|September 10, 2023
PubMed
概括

手术后的电刺激 (ES) 加上生物反疗法在重建性手术后的患者中显著改善了排尿功能和盆地肌肉力量. 这种疗法提高了骨盆器官脱落 (POP) 患者的生活质量.

关键词:
生物反的回收方式电刺激是一种电气刺激.电动肌图学 电动肌图学骨盆地肌肉的骨盆地肌肉是什么骨盆器官的脱落是因为骨盆器官的脱落.

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科学领域:

  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 妇科 妇科 妇科 妇科
  • 物理疗法物理治疗

背景情况:

  • 骨盆器官脱落 (POP) 影响了许多女性,经常需要重建性手术.
  • 术后康复和生活质量是POP手术患者的关键问题.
  • 标准的术后护理可能无法完全解决功能缺陷.

研究的目的:

  • 为了评估术后电刺激 (ES) 与生物反治疗相结合的有效性.
  • 评估这种综合疗法在骨盆底重建手术后对患者康复的影响.
  • 为了确定尿路功能的改善,盆地肌肉 (PFM) 的强度,以及患者报告的结果.

主要方法:

  • 一项随机对照试验,涉及60名手术后POP患者.
  • 患者被分配到对照组 (常规护理) 或干预组 (ES + 生物反疗法).
  • 结果包括排尿功能,PFM强度 (EMG和触摸),以及盆地地底痛苦清单问卷-20 (PFDI-20) 分数在基线和随访点测量.

主要成果:

  • 干预组在手术后6个月显示出尿功能恢复率显著更高 (p=0.038).
  • 与对照组相比,电刺激 (ES) 加上生物反疗法导致PFM强度 (通过EMG和触摸测量) 的更大改善.
  • 接受ES加生物反治疗的患者报告生活质量有更显著的改善,根据PFDI-20得分.

结论:

  • 术后电刺激 (ES) 加上生物反疗法是一种有效的康复策略.
  • 这种联合疗法显著提高了泌尿功能和盆地肌肉 (PFM) 的强度.
  • 该治疗改善了患者在骨盆底重建手术后的整体生活质量.