盆底实时三维超声对压力性尿失禁患者行经闭孔阴道无张力尿道中段悬吊术后的观察

发布时间：2018-03-28 04:36

本文选题：盆底实时三维超声　切入点：压力性尿失禁　出处：《中国超声医学杂志》2017年08期

【摘要】：目的运用盆底实时三维超声技术观察29例我院行经闭孔阴道无张力尿道中段悬吊带(TVT-O)术后的吊带情况。方法对29例行TVT-O手术的患者于其术后3个月按临床疗效的差异进行分组及盆底实时三维超声检查,观察植入的悬吊带并测量相关参数,并动态观察患者在静息、Valsalva动作时吊带的活动和形态变化。结果被检患者中症状治愈者有23例,症状改善者有6例,两组患者在静息时吊带近端—膀胱颈距离、吊带近端—膀胱颈距离与尿道全长比值、吊带横截面宽度、吊带成角以及Valsalva动作时吊带中点与耻骨联合后下缘距离、吊带中点至尿道中点距离、吊带成角等参数均有差异(P0.05)。结论盆底实时三维超声能观察TVT-O术后的吊带悬吊情况,为患者术后的疗效评估及处理提供有价值的影像学依据及指导意见。
[Abstract]:Objective to observe the sling condition of 29 patients undergoing TVT-O trabecular vaginal tension free urethral suspension using pelvic floor real-time three-dimensional ultrasound technique. Methods 29 patients undergoing TVT-O operation were treated with the clinical effect 3 months after operation. The difference was detected by real time three-dimensional ultrasound in groups and pelvic floor. The sling band was implanted and the parameters were measured. The movement and morphology of the sling were observed dynamically during the resting Valsalva movement. Results among the patients, 23 cases were cured and 6 cases were improved. In both groups, the distance between the proximal end of the sling and bladder neck, the ratio of the distance between the proximal end of the sling and the bladder neck to the total length of the urethra, the width of the sling cross section, the angle of the sling band, and the distance between the midpoint of the sling band and the posterior lower margin of the pubic joint at rest were analyzed. The distance from the midpoint of the sling to the midpoint of the urethra and the angle of the sling were all different (P 0.05). Conclusion the real-time three-dimensional ultrasound of pelvic floor can observe the suspension of the sling after TVT-O. To provide valuable imaging basis and guidance for postoperative evaluation and management of patients.
【作者单位】：佛山市第一人民医院超声诊疗中心;
【基金】：佛山市自筹经费类医学类科技攻关项目(No.2015AB00308)
【分类号】：R445.1;R699

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