|
|
|
| Transperineal pelvic floor three-dimensional ultrasound combined with rectal ultrasound to evaluate the application of biomyoelectric stimulation for treating pelvic floor dysfunction diseases |
| Shuangliu District Hospital of Traditional Chinese Medicine of Chengdu, Sichuan Province, 618200 |
|
|
|
|
Abstract To explore the effect of biomyoelectric stimulation for treating pelvic floor dysfunction diseases (FPFD) evaluated by perineal and pelvic floor three-dimensional ultrasound combined with rectal ultrasound. Methods: A total of 200 patients with FPFD were selected and were divided into two groups using random number table method (100 cases in each group) by random numbers table from January 2018 to June 2020 . The patients in the control group received pelvic floor muscle exercise therapy, and the patients in the study group received pelvic floor muscle exercise combined with electrical stimulation biofeedback therapy. The patients in both groups received the perineal pelvic floor examinations by three-dimensional ultrasound and rectal ultrasound. The differences of the position, shape, and structure of pelvic floor in resting period and in the period of force discharge, and the changes of the pelvic floor muscle strength, fatigue degree, and the POP-Q score before and after treatment of the patients were compared between the two groups. Results: After treatment, the anal right angle in resting period (63.28±9.33°) and in the period of force discharge (58.90±7.50°) of the patients in the study group were significantly more than those (40.14±7.33°and 33.10±8.53°) of the patients in the control group. The muscle fiber strength of class I and II (32.72±6.80μV and 33.50±6.15μV) of the patients in the study group were significantly higher than those (17.03±5.37μV and 18.90±4.88μV) of the patients in the control group. The fatigue score (2.79±0.95 points) of the patients in the study group was significantly lower than that (3.64±1.25 points) of the patients in the control group. The proportion of 0 class of POP-Q score (90.0%) of the patients in the study group was significantly higher than that (42.0%) of the patients in the control group, while the proportion of I or II class of POP-Q score of the patients in the study group was significantly lower than that of the patients in the control group (P＜0.05). Conclusion: The combined application of electrical stimulation biofeedback therapy and pelvic floor muscle exercise can effectively improve the pelvic floor muscle strength, reduce the fatigue, and improve the POP- Q score of the patients with FPFD, which has better effect of recovery.
|
|
|
|
|
|
|
|
|
