Efficacy Analysis Of Fractional CO₂ Laser Combined With Pelvic Floor Biofeedback Electrical Stimulation In The Treatment Of Female Mild And Moderate Stress Urinary Incontinence

Objectives To evaluate the efficacy and safety of transvaginal fractional CO₂laser combined with pelvic floor biofeedback electrical stimulation in the treatment of women with mild to moderate stress urinary incontinence,and compare the efficacy with pure pelvic floor biofeedback electrical stimulation therapy,for clinical treatment of women Stress urinary incontinence provides new treatment ideas.Methods 40 cases of SUI who were treated in the pelvic floor clinic of Dalian Maternity and Child Health Hospital from April 2019 to November 2019 were selected as the experiment.After informed consent,40 cases of fractional CO₂laser treatment withone course of pelvic floor biofeedback electrical stimulation treatment were selected as the observation group.In the same period,40 cases who received only one course of pelvic floor biofeedback electrical stimulation were selected as the control group.Record the strength of type I and II muscle fibers,the degree of vaginal anterior wall bulging and A3 reflex before treatment and after treatment,respectively,and record the number of urine leakage and ICI-Q-SF before treatment,at the end of treatment and3 months after treatment.SF questionnaire and I-QOL questionnaire were used for statistical analysis to compare the difference in efficacy between the two groups.Results（1）Before the treatment,the two groups had no significant differences in severity of illness,age,body mass index,pregnancy and parity,newborn birth weight,and delivery mode（P>0.05）.（2）The number of urine leakage,ICI-Q-SF questionnaire and I-QOL questionnaire at the end of treatment and 3 months after treatment were significantly different between the two groups before treatment（P<0.05）.Further comparison and analysis between groups It was found that the number of urine leakage,ICI-Q-SF questionnaire and I-QOL questionnaire at the end of treatment were significantly different（P<0.05）,and the leakage symptoms and quality of life improvement of the observation group were more significant than those of the control group.Significant;but there was no significant difference in the number of urine leakage,ICI-Q-SF questionnaire and I-QOL questionnaire between the two groups at 3months after treatment（P>0.05）.（3）Follow-up at the end of the treatment showed that37 cases in the observation group were effective（92.5%）and 29 cases in the control group were effective（72.5%）.There was a significant statistical difference between the two groups（P<0.05）;At 3-month follow-up after treatment,35 of the observation group were found to be effective（87.5%）and 27 cases were effective（68.5%）in the control group.There was no significant difference between the two groups（P>0.05）.（4）At the end of treatment,the strength of class I and II muscle fibers and the degree of anterior vaginal wall bulging in the two groups were significantly different from those before treatment（P<0.05）.Further comparison and analysis between the groups showed that at the end of the treatment,there were significant differences in the strength of type I and II muscle fibers and the degree of vaginal bulging between the two groups（P<0.05）,and the strength of type I and II muscle fibers and the improvement of the bulging of the anterior vaginal wall was more obvious than the control group.The improvement of A3reflex in the two groups after treatment compared with the difference before treatment was statistically significant（P<0.05）.（5）The improvement of A3 reflex in the two groups after treatment compared with the difference before treatment was statistically significant（P<0.05）.（6）There were no obvious adverse reactions during treatment and follow-up in 2 groups.Conclusions Transvaginal fractional CO₂laser combined with pelvic floor biofeedback electrical stimulation can effectively improve the symptoms of stress urinary incontinence,improve the pelvic floor muscle strength and quality of life of patients.And its therapeutic effect is better than pure pelvic floor biofeedback electrical stimulation.It has few adverse reactions,and the patients are well-tolerated for the treatment,but its long-term efficacy still requires further follow-up analysis.