中晚期妊娠孕妇盆底二维超声特点与压力性尿失禁的相关性

发布时间：2018-02-01 07:20

本文关键词： 中晚期妊娠盆底二维超声压力性尿失禁　出处：《实用医学杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的:本研究旨在比较妊娠中、晚期孕妇经会阴盆底二维超声的表现特点,为研究妊娠与压力性尿失禁之间的关系提供影像学依据。方法:对孕龄为14~40周的74例中晚期单胎妊娠孕妇为研究对象,将其分为尿失禁组(34例)和无尿失禁组(40例)。均接受静息状态和最大Valsalva动作时的经会阴盆底二维超声检查。观察指标有:膀胱颈角度、膀胱颈旋转角度、膀胱颈活动度、膀胱尿道后角、尿道旋转角度。进行独立样本t检验、偏相关分析。P0.05认为有统计学意义。结果:(1)中晚期妊娠尿失禁组的膀胱颈旋转角度、膀胱颈活动度以及最大Valsalva动作时的膀胱颈角度、膀胱尿道后角均大于无尿失禁组,其差异均有统计学意义(均P0.05)。(2)中晚期妊娠尿失禁组的尿道旋转角度与孕周呈中度相关,差异有统计学意义(P0.05)。结论:患有SUI的中晚期妊娠孕妇膀胱尿道周围支持结构有明显改变,尿道旋转角度随孕周的增大而增加。
[Abstract]:Objective: the purpose of this study was to compare the characteristics of transperineal pelvic floor two-dimensional ultrasound in pregnant women in the middle and late stages of pregnancy. To study the relationship between pregnancy and stress urinary incontinence. Methods: 74 pregnant women with middle and late stage single pregnancy were studied. They were divided into urinary incontinence group (n = 34) and no urinary incontinence group (n = 40). All patients were examined by transperineal pelvic floor ultrasound during resting state and maximal Valsalva. The indexes were as follows: bladder neck angle. Bladder neck rotation angle, bladder neck activity, bladder urethral posterior angle, urethral rotation angle. Partial correlation analysis. P0.05 thought there was statistical significance. Results: 1) urinary incontinence in late pregnancy group of bladder neck rotation angle. The range of bladder neck activity and the angle of bladder neck and the posterior angle of bladder urethra during maximal Valsalva were higher than those in the group without urinary incontinence. The urethral rotation angle was moderately correlated with gestational weeks in the late pregnancy incontinence group. Conclusion: the perivesical supporting structure of bladder urethra in pregnant women with SUI has obvious changes, and the urethral rotation angle increases with the increase of gestational week.
【作者单位】：广州医科大学附属第一医院妇产科;
【基金】：广东省产业技术研究与开发资金计划项目(编号:2012B031800247)
【分类号】：R445.1;R714
【正文快照】： 现有的流行病学调查研究显示,妊娠对盆底支纳入标准为:孕期有无在打喷嚏、大笑或提重物时持系统的影响不容忽视,是引起盆底功能障碍性出现不自主尿液漏出,出现次数至少3次,将其分疾病的重要危险因素之一[1]。BUSSARA等[2]报道,为尿失禁组(34例)和无尿失禁组(40例)。按照约的严

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