关键词: 经阴道铒激光照射, 经阴道无张力尿道悬吊术, 女性压力性尿失禁, 疗效

Abstract: Objective To explore the efficacy of transvaginal erbium laser treat combined with transvaginal tension-free urethral suspension (TVT) in the treatment of female stress urinary incontinence.Methods From September 2023 to September 2024,60 female patients with stress urinary incontinence were selected as the research object.The study subjects were randomly divided into a control group (n=30 cases) using TVT surgery for treatment and nursing care,and a study group (n=30 cases) using transvaginal erbium laser irradiation combined with TVT surgery treatment program followed by a combined targeted nursing care program,comparing the clinical efficacy of the two groups.The Chinese version of the urinary incontinence self-efficacy scale (GSE-UI) The clinical efficacy,Chinese version of the urinary incontinence self-efficacy scale (GSE-UI),anxiety self-assessment scale (SAS) and depression self-assessment scale (SDS),and urinary incontinence quality of life scale (I-QOL) were compared between the two groups.Results The treatment efficacy rate of the study group was 96.67% (29/30),significantly higher than the control group's 80% (24/30) (P<0.05).One month after the intervention,the GSE-UI score in the study group was 82.40±5.52,and three months later,it was 101.50±5.78,both significantly higher than the control group's scores of 66.10±4.45 and 75.56±5.00 (P<0.05).One month after the intervention,the SAS score in the study group was 48.00±1.21,and three months later,it was 37.11±1.00.One month after the intervention,the SDS score in the study group was 47.21±2.00,and three months later,it was 37.17±1.02,both significantly lower than the control group's SAS score of 58.85±4.22 and 52.00±2.05,and the SDS score of 56.63±5.21 and 50.00±2.25 (P<0.05).One month and three months after the intervention,the I-QOL score in the study group was 68.89±7.21 and 80.28±10.00,respectively,both significantly higher than the control group's scores of 55.87±6.03 and 70.00±7.52 (P<0.05).Conclusion Transvaginal erbium laser irradiation combined with TVT postoperative combined targeted nursing program has significant therapeutic effects on female stress urinary incontinence,and patients' negative emotions,self-efficacy,and quality of life were significantly improved after treatment.

Key words: ransvaginal erbium laser irradiation, transvaginal tension-free urethral suspension surgery, female stress urinary incontinence, therapeutic effect