（中英双语）Radiofrequency Therapy or Pelvic Floor Physical Therapy?
在女性盆底出现问题时，许多人从网络、月子会所/医美整容机构了解到“阴道射频”治疗；我的患者也曾问过我相关的机器和盆底物理治疗的比较。借此机会，我搜寻了PubMed 最新的循证资料，整理成以下文章：“射频治疗”与“盆底物理治疗”的对照比较；从原理、适应人群、科学研究证据强度、疗效、安全性等，让读者能够更深入了解两者区别，为自己做出科学、负责的选择！
It’s easily linked to devices when it comes to pelvic floor treatment in China, however pelvic floor healthcare is more than that. Except for biofeedback machine, vaginal radiofrequency (RF) therapy has been introduced/advertised by the internet, postpartum care centers, or medical aesthetic institutions to many. Some of my patients have also asked me the difference between RF and PFPT.
So here I have compiled a comparison between RF therapy and PFPT based on the latest evidence from PubMed—covering mechanisms, indications, evidence strength, effectiveness, and safety—so that readers can make more informed and evidence-based choices for themselves.
射频治疗与盆底物理治疗的对照表 Comparison of RF and PFPT
划重点！Key takeaways！
1. 盆底物理治疗 是一线、循证保守治疗
多项系统综述和RCT支持其在治疗压力性尿失禁、盆底功能障碍和产后康复方面的有效性。对于漏尿或脱垂症状，应先进行盆底肌训练，并尽可能由专业人员指导。
PFMT/PFPT is evidence-based first-line care for stress urinary incontinence, many pelvic-floor dysfunctions and postpartum rehabilitation — supported by systematic reviews and RCTs. If you (or a patient) have leakage or prolapse symptoms, start with PFMT and specialist assessment. [2,5]
2. 射频治疗短期效果可观，但长期证据有限
多项研究提示可改善阴道松弛、性功能和轻中度SUI，但研究质量和随访时间有限。作为辅助或替代方案需让患者了解证据局限性。
RF therapies show promising short-term improvements for vaginal laxity, sexual function and mild–moderate SUI in multiple studies, but the literature is heterogeneous and long-term durability & high-quality RCTs are still limited. Treat RF as an adjunct or alternative when patients understand the evidence limits. [1,3]
3. 安全性差异
盆底肌肌肉训练（PFMT）在正确执行时风险极低；射频治疗总体耐受性好，但依赖设备与操作者水平，缺乏大规模长期安全数据。
Safety profiles differ: PFMT has very low risk when done correctly. RF devices are generally well tolerated in trials but rely on proper device use and have less long-term safety surveillance — discuss expected side effects and unknowns with patients. [1,8]
4. 实用建议
对多数患者，应先从盆底肌肌肉训练开始（尤其是在产后或SUI情况下）；当PFMT效果不佳、患者希望尝试仪器治疗、或针对特定需求（如阴道松弛、性功能改善）时，可考虑射频，并提前告知证据强度、费用及随访安排。
Practical recommendation: for most patients start with PFMT (supervised if possible). Consider RF if PFMT fails, the patient prefers a device-based approach, or for specific indications (vaginal laxity, sexual concerns), and always discuss evidence strength, costs, and follow-up plans. [1,2]
结语 Conclusion
在接受任何一种治疗、或是购买服务时，充分了解机器原理、安全性及有效性是最基本的前提。如果你想进一步了解更多盆底物理治疗，欢迎添加下面客服微信联系！
Before undergoing any treatment or purchasing a service, fully understanding the mechanism, safety, and effectiveness is the most fundamental prerequisite.
If you want to learn more or ask questions, we’re here to help.
Reference
1. Karcher C, Sadick N. Vaginal rejuvenation using energy-based devices. Int J Womens Dermatol. 2016 Jun 21;2(3):85-88. doi: 10.1016/j.ijwd.2016.05.003. PMID: 28492016; PMCID: PMC5418869.
2. Curillo-Aguirre CA, Gea-Izquierdo E. Effectiveness of Pelvic Floor Muscle Training on Quality of Life in Women with Urinary Incontinence: A Systematic Review and Meta-Analysis. Medicina (Kaunas). 2023 May 23;59(6):1004. doi: 10.3390/medicina59061004. PMID: 37374208; PMCID: PMC10301414.
3. Chinthakanan O, Saraluck A, Kijmanawat A, Aimjirakul K, Wattanayingcharoenchai R, Manonai J. Comparison of Low-Energy Radiofrequency Thermal Vaginal Therapy with Sham Treatment for Stress Urinary Incontinence in Postmenopausal Women: A Randomized Controlled Trial. Int J Womens Health. 2023 Nov 15;15:1779-1790. doi: 10.2147/IJWH.S431233. PMID: 38020937; PMCID: PMC10657547.
4. Bo K, Fernandes ACNL, Duarte TB, Brito LGO, Ferreira CHJ. Is pelvic floor muscle training effective for symptoms of overactive bladder in women? A systematic review. Physiotherapy. 2020 Mar;106:65-76. doi: 10.1016/j.physio.2019.08.011. Epub 2019 Aug 24. PMID: 32026847.
5. Espiño-Albela A, Castaño-García C, Díaz-Mohedo E, Ibáñez-Vera AJ. Effects of Pelvic-Floor Muscle Training in Patients with Pelvic Organ Prolapse Approached with Surgery vs. Conservative Treatment: A Systematic Review. J Pers Med. 2022 May 17;12(5):806. doi: 10.3390/jpm12050806. PMID: 35629228; PMCID: PMC9142907.
6. Solanki SB, Mishra V, Mishra N, Desai SA, Alinsod R. Transcutaneous Temperature-controlled Radiofrequency for Vaginal Rejuvenation. J Midlife Health. 2024 Oct-Dec;15(4):250-257. doi: 10.4103/jmh.jmh_32_24. Epub 2025 Jan 2. PMID: 39959723; PMCID: PMC11824938.
7. Wattanakrai P, Limpjaroenviriyakul N, Thongtan D, Wattanayingcharoenchai R, Manonai J. The efficacy and safety of a combined multipolar radiofrequency with pulsed electromagnetic field technology for the treatment of vaginal laxity: a double-blinded, randomized, sham-controlled trial. Lasers Med Sci. 2022 Apr;37(3):1829-1842. doi: 10.1007/s10103-021-03438-3. Epub 2021 Oct 14. PMID: 34647191; PMCID: PMC8971182.
8. González-Gutiérrez MD, López-Garrido Á, Cortés-Pérez I, Obrero-Gaitán E, León-Morillas F, Ibáñez-Vera AJ. Effects of Non-Invasive Radiofrequency Diathermy in Pelvic Floor Disorders: A Systematic Review. Medicina (Kaunas). 2022 Mar 17;58(3):437. doi: 10.3390/medicina58030437. PMID: 35334613; PMCID: PMC8951766.
9. Papanikolaou DT, Lampropoulou S, Giannitsas K, Skoura A, Fousekis K, Billis E. Pelvic floor muscle training: Novel versus traditional remote rehabilitation methods. A systematic review and meta-analysis on their effectiveness for women with urinary incontinence. Neurourol Urodyn. 2023 Apr;42(4):856-874. doi: 10.1002/nau.25150. Epub 2023 Feb 18. PMID: 36808744.
10. Paiva LL, Ferla L, Darski C, Catarino BM, Ramos JG. Pelvic floor muscle training in groups versus individual or home treatment of women with urinary incontinence: systematic review and meta-analysis. Int Urogynecol J. 2017 Mar;28(3):351-359. doi: 10.1007/s00192-016-3133-2. Epub 2016 Sep 9. PMID: 27613622.
11. Er-Rabiai Y, Torres-Lacomba M, Casaña J, López-Bueno R, Núñez-Cortés R, Calatayud J. The Effectiveness of Adding Transvaginal Radiofrequency to Pelvic Floor Muscle Training for 6 Weeks in Women with Stress Urinary Incontinence. A Double-Blind Randomised Controlled Trial. Int Urogynecol J. 2024 Sep;35(9):1817-1828. doi: 10.1007/s00192-024-05874-5. Epub 2024 Jul 26. PMID: 39060727.
Disclaimer: This blog is for informational purposes only and not a substitute for medical advice. Consult a healthcare provider for personalized treatment.
