Résumé
Objective To study the clinical effect of neuromuscular stimulation combined with vaginal cones treatment in patients with postpartum stress urinary incontinence ( SUI) .Methods 100 cases using random sampling method were divided into vaginal cones ( control group ) in 50 cases and neuromuscular stimulation combined with va-ginal cones training (observation group) in 50 cases,by each treatment for 8 weeks,The treatment effect of SUI before and after of the two groups was evaluated .Results The change of pelvic floor muscle strength before treatment in the two groups was no statistically significant differences (χ2 =5.49,P >0.05);The change of pelvic floor muscle strength after treatment in the observation group than the control group obviously improve (χ2 =23.11,P<0.05);The of pelvic floor muscle strengthscore score (4.88 ±0.77)point after 12 week in the observation group were significant-ly higher than those control group (3.88 ±0.69)/point (t=3.55,P<0.05);The incidence rate (10%) of urinary incontinence after 12 week in the observation group were significantly lower than those in the control group ( 18%) (χ2 =4.33,P<0.05);The muscles contraction strength [(37.55 ±7.98)μV] after treatment in the observation group were markedly increased compared to the control group [(37.55 ±7.98)μV] (t=5.13,P<0.05).Conclusion The incidence rate of urinary incontinence postpartum can reduce postpartum stress urinary incontinence , and pelvic floor muscle strength were increased by treatment in neuromuscular stimulation combined with vaginal cones .
Résumé
Objective To investigate the value of hysteroscopy combined with laparoscopy in diagnosing and treating patients with infertility. MethodsA retrospective analysis of 108 cases with infertile women who had accepted examination and correlative treatment under the combined laparoscopy and hysteroscopy in 5 years was performed. ResultsBy using laparoscopy combined with hysteroscopy,100 cases of pelvic disease(92.5%)were detected in this series.The most common causes of infertility were pelvic inflammation(58.0%)and endometriosis(28.0%).The incidence rate of pelvic inflammation in secondary infertility patientswas significantly higher than in those with primary infertility(x2=11.922,P＜0.05);whereas,the rate of polycystic ovarian syndrome in the secondary infertility cases were significantly lower than the primary cases(x2=5.141,P＜0.05).The diagnostic accordance rate of laparoscopy and hysterosalpingography was 66.4% with a false positive rate of 28.0% and false negative rate of 4.0%. ConclusionThe examination by hysteroscopy and laparoscopy could find the reasons of primary infertility as early as possible,but also treat them,which was good for raising the rate of pregnancy.