腹部手术与盆地肌肉训练:哪一种更好地治疗尿失禁?
Hui Peng1, Yunxian Xian2, Jie Zhang3
1First Affiliated Hospital of Jinan University, Guangzhou, China.
Obesity surgery
|March 3, 2026
概括
盆地肌肉炼 (PFME) 和袖子胃切除术 (SG) 都可以改善老年妇女的压力尿失禁 (SUI). 一年后,PFME显示出比SG更好的结果,但SG后的腹降低了它的益处.
科学领域:
- 老年学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腹部外科 腹部外科
背景情况:
- 严重的肥胖症加剧了老年妇女的压力尿失禁 (SUI).
- 腹腔外科手术和盆地肌肉炼 (PFME) 是SUI的治疗方法,但它们在老年人中的比较有效性尚不清楚.
研究的目的:
- 为了比较腹腔镜袖子胃切除术 (SG) 和结构化PFME在改善60岁及以上与肥胖相关的SUI妇女的禁欲结果方面的有效性.
- 为了研究早期术后胃肠道症状对SG后体结局的影响.
主要方法:
- 追溯性倾向得分匹配的队列研究.
- 包括60岁以上的女性,SUI患者接受了SG,PFME或没有干预的治疗.
- 主要结局:在12个月后,抑郁症有所改善 (ICIQ-SF得分≤7).
主要成果:
- 与没有治疗相比,GS和PFME都显著改善了SUI (p<0.001).
- 在12个月内,PFME实现了比SG (34.8%) 更高的缓解率 (56.5%).
- 早期的术后腹与SG后抑郁改善的减少有关.
结论:
- 在与肥胖相关的SUI的老年女性中,SG和PFME都能改善禁欲.
- 作为一个独立的干预措施,PFME在一年后更有效.
- 手术后腹降低了SG的节制益处.
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