超声评估膀胱脱垂分型与女性压力性尿失禁的相关性研究

发布时间：2018-02-02 21:17

本文关键词： 膀胱疾病脱垂尿失禁压力性超声检查多普勒彩色　出处：《中国临床医学影像杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的:探讨经会阴超声评估膀胱脱垂分型与女性压力性尿失禁之间的相关性。方法 :对经临床或尿动力学证实的83例膀胱脱垂合并压力性尿失禁患者(SUI组)、78例膀胱脱垂不合并尿失禁患者(脱垂组)行会阴超声检查,测量在静息状态和最大Valsalva状态下膀胱颈及膀胱后壁最低点的位置、尿道倾斜角及膀胱尿道后角等指标,并计算膀胱颈及膀胱后壁最低点下降值及尿道旋转角等。81例正常体检女性为对照组。结果:SUI组与脱垂组分别诊断膀胱尿道膨出73例、37例,两组分别诊断孤立性膀胱膨出10例、41例,SUI组与脱垂组中膀胱脱垂的分型差异有统计学意义(P0.05);不论在SUI组或脱垂组,其诊断的不同膀胱脱垂类型的膀胱颈下降值均无明显差异(P0.05),而膀胱后壁最低点下降值、膀胱尿道后角及尿道旋转角有明显统计学差异(P0.05);Valsalva动作后,SUI组、脱垂组分别与对照组进行对比,各超声测量指标均有统计学差异(P0.05)。结论:经会阴超声能够诊断膀胱脱垂类型,不同膀胱脱垂类型的盆底解剖结构改变不同,其中膀胱尿道膨出与压力性尿失禁关系密切。
[Abstract]:Objective: to investigate the correlation between the classification of bladder prolapse and female stress urinary incontinence by transperineal ultrasonography. Methods: 83 patients with bladder prolapse complicated with stress urinary incontinence were studied. SUI group. Seventy-eight patients with bladder prolapse without urinary incontinence (prolapse group) were examined with perineum ultrasound to measure the position of the lowest point of bladder neck and posterior wall of bladder in resting state and maximum Valsalva state. Urethral obliquity angle and bladder urethral posterior angle. The lowest drop value of bladder neck and posterior wall of bladder and urethral rotation angle were calculated in 81 healthy women as control group. Results 73 cases of bladder urethra exophthalmos were diagnosed in the SUI group and 37 cases in the prolapse group. The classification of bladder prolapse in SUI group (n = 41) and prolapse group (n = 41) was significantly different between the two groups (P 0.05). Whether in SUI group or prolapse group, there was no significant difference in the value of bladder neck decline in different types of bladder prolapse, but the lowest point of bladder posterior wall was decreased. The posterior angle of bladder and urethra and the rotation angle of urethra were significantly different (P 0.05). After Valsalva, the SUI group and the prolapse group were compared with the control group. Conclusion: transperineal ultrasound can diagnose the type of bladder prolapse and the pelvic floor anatomical structure of different types of bladder prolapse is different. There is a close relationship between bladder urethral exophthalmos and stress urinary incontinence.
【作者单位】：兰州大学第二医院;
【基金】：兰州市科技计划项目(项目编号:2016-2-71)
【分类号】：R445.1;R711.59
【正文快照】： 盆腔器官脱垂及压力性尿失禁(Stress urinaryincontinence,SUI)是由于盆底支持组织结构的缺陷及功能障碍所造成的,严重影响女性的健康和生活。经会阴盆底超声能够诊断前盆腔脏器脱垂类型,将前盆腔器官脱垂分为膀胱尿道膨出(Green typeⅠ、Ⅱ型)和孤立性膀胱膨出(Green typeⅢ

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