盆底肌电生理在盆底功能障碍性疾病中的应用

doi:10.12280/gjfckx.20250424

摘要/Abstract

摘要：

盆底功能障碍性疾病（pelvic floor dysfunction，PFD）是女性常见的健康问题，严重影响产后及老年女性的生活质量。随着人们健康意识的提升及人口老龄化发展，其早期发现与干预已成为全球公共卫生的优先议题。盆底肌电生理检查凭借其无创性和动态监测的优势，已广泛应用于PFD的诊断和治疗。该技术可客观量化盆底肌电信号，对早期无症状性PFD的筛查具有较高敏感性；在疗效评估中，能精准反映康复效果；同时，其还为PFD机制研究提供支持，例如区分不同患者的肌电特征差异。然而，该技术仍存在标准化程度不足、对深部肌群评估受限和多学科协作缺乏等问题，未来需推进技术革新、加强多学科整合，并构建跨学科协作体系，以实现PFD的精准防控。

关键词: 盆底疾病, 尿失禁，压力性, 盆腔器官脱垂, 骨盆底, 肌力, 电生理学, 肌电描记术, 电刺激疗法

Abstract:

Pelvic floor dysfunction (PFD) is a common health problem among women, severely affecting the quality of life of postpartum and elderly women. With the improvement of people's health awareness and the development of population aging, the early detection and intervention of PFD have become a global public-health priority. Pelvic floor electrophysiological examination, with its advantages of non-invasiveness and dynamic monitoring, has been widely used in the diagnosis and treatment of PFD. This technology can objectively quantify pelvic floor electromyographic signals and has high sensitivity for the screening of early asymptomatic PFD. In the evaluation of treatment efficacy, it can accurately reflect the rehabilitation effect. Additionally, it also provides support for the research on the mechanisms of PFD, such as distinguishing the differences in electromyographic characteristics among different patients. However, this technology still has some problems, including insufficient standardization, limited evaluation of deep muscle groups, and lack of multidisciplinary collaboration. In the future, it is necessary to promote technological innovation, strengthen multidisciplinary integration, and establish an interdisciplinary collaboration system to achieve precise prevention and control of PFD.

Key words: Pelvic floor disorders, Urinary incontinence, stress, Pelvic organ prolapse, Pelvic floor, Muscle strength, Electrophysiology, Electromyography, Electric stimulation therapy

刘泽芸, 陈韶慧. 盆底肌电生理在盆底功能障碍性疾病中的应用[J]. 国际妇产科学杂志, 2025, 52(5): 540-545.

LIU Ze-yun, CHEN Shao-hui. Application of Pelvic Floor Electrophysiology in Pelvic Floor Dysfunction[J]. Journal of International Obstetrics and Gynecology, 2025, 52(5): 540-545.

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