以非侵入式體外磁波治療婦女尿失禁的臨床應用

Non-Invasive Therapeutics in Female Urinary Incontinence by Extracorporeal Magnetic Innervation (ExMI)

婦女尿失禁的盛行率約為19～35%，影響生活品質甚巨；為了保障婦女的生活品質，尿失禁問題應被重視，早期治療並預防。過去尿失禁的處置不是服藥就是手術，由於尿失禁係屬需長期治療的頑固症，不易根除，即便是行為治療法，不論是用凱格爾運動、陰道圓錐重量訓練、微電刺激、肌電波生理迴饋等各種方法，個案或治療師兩方面都必須具有相當的耐性，個案須長期配合才能治癒或改善。體外磁波治療婦女尿失禁之臨床技術，為失禁婦女提供了一個簡便而“不具侵犯性”的新治療選擇，可以提高個案接受治療的意願與配合度。因此，作者在此回顧文獻中闡述該項新技術的研發史源和臨床之成果，以及該項新治療的運用準則。至於其臨床上之治療效果，仍待進一步審慎客觀的評估。

The prevalence of female urinary incontinence (UI) in Taiwan is 19～35% and the condition has a psychosocial impact. It is important to prevent UI and to treat it when it does occur. It is an intractable symptom which is not very responsive to medicine or surgery, although in the past, these were the most common options for treating it. The alternatives include pelvic floor muscle exercises, vaginal cone weight training, functional electrical stimulation and biofeedback. The effectiveness of these methods depends on the patient's motivation and compliance, as well as on health care providers' encouragement. However, the Extracorporeal Magnetic Innervation (ExMI) is simple and easy to use and therefore enhances participants' motivation and compliance. The authors review the relevant literature and describe the development of the revolutionary new treatment and discuss its effectiveness concluding that its clinical effectiveness needs further evaluation.