RÉSUMÉ
Objective To investigate the treatment of female bladder neck obstruction by 1470nm laser transurethral modified enlarged female bladder neck obstruction(FBNO).Methods The clinical data of 34 patients with FBNO from January 2019 to November 2021 were retrospectively analyzed.The patient underwent a 1470nm laser transurethral modified enlarged bladder neck incision.The 1470nm laser was used to vaporise the bladder neck at 12 o'clock(lithotomy),and the incision site was expanded along the bladder neck to 9 o'clock and 3 o'clock to form a semi-circular surgical wound.The patients were followed up for complications,scored form of Bristol female lower urinary tract symptoms questionnaire(BFLUTS-SF)urination symptom subscale,quality of life(QoL)score and the maximum urinary flow rate(Qmax),detrusor pressure at maximum flow rate(PdetQmax),post-void residual(PVR)were reviewed at 1,4,and 10 months after operation.Results After 10 months of follow-up,the subjective indexes of BFLUTS-SF and QoL scores were significantly improved compared with those before operation(P<0.001),and the objective indexes of Qmax,PdetQmax,and PVR were significantly improved compared with those before operation(P<0.001).Two patients had mild urgency urinary incontinence and urinary tract infection symptoms half a month after operation,and the symptoms were improved after anti-infection and pelvic floor rehabilitation treatment.During the follow-up period,there were no complications such as vesicovaginal fistula,stress urinary incontinence,or recurrent bladder neck obstruction.Conclusion 1470nm laser transurethral modified enlarged bladder neck resection can effectively relieve bladder neck obstruction without significant postoperative complications,with high safety and good patient satisfaction.
RÉSUMÉ
ObjectiveTo analyze the evidence of risk factors and health and rehabilitation intervention strategies for lower back injuries in adult golfers. MethodsA thematic search method was employed, retrieving literature related to low back pain in adult golfers from PubMed, Web of Science, EBSCO, Scopus, the Cochrane Library, CNKI, VIP and Wanfang Data, with publication dates ranging from inception to April 1st, 2024. Authors, country, publication time, study subjects, risk factors for low back pain and intervention strategies were extracted from the literature for systematic review. ResultsNine English articles from the United States, Australia, South Korea, Portugal and South Africa were included, involving 237 golfers, three survey studies, one prospective cohort study, five randomized controlled trial (RCT) and quasi-RCT articles were enrolled. The study subjects included adult professional and amateur golfers. The primary risk factors were excessive repetition of non-standard golf swinging movements resulting in excessive lumbar torsion and overuse of the lumbar musculature; abnormal activation patterns of the rectus abdominis, erector spinae and latissimus dorsi muscles; and functional limitation of the trunk and hip joints, causing excessive lumbar compensation during the swinging motion. Health and rehabilitation intervention strategies included the comprehensive application of electromyography and ultrasound biofeedback technologies with a focus on screening the lumbar weak muscle groups and swinging actions, optimizing training load, and standardizing swinging technical movements; strengthening functional training of the trunk and hip joints; and enhancing strength training of the abdominal and core muscle groups, as well as the deep muscle groups. ConclusionThe risk factors for low back pain in adult golfers are primarily associated with excessive repetition of improper golf swing techniques, insufficient strength in the abdominal and core muscle groups, and functional limitations of the trunk and hip joints. Key intervention strategies include optimizing training load using electromyography and ultrasound biofeedback techniques, standardizing swing techniques, enhancing trunk and hip joint functional training, and strengthening waist, abdominal, core and deep muscle group strength training. The implementation of these strategies helps to reduce the risk of low back pain in golfers, enhance athletic performance, and promote physical and mental health.