经会阴超声评估盆腔脏器脱垂合并压力性尿失禁的参数特点及意义

发布时间：2018-11-02 15:48

【摘要】：目的:研究经会阴超声检测女性盆腔脏器脱垂(POP)合并压力性尿失禁(SUI)的参数特点。方法:经会阴超声检查60例POP患者(其中25例不合并SUI、35例合并SUI)的盆底结构,测量静息期、张力期的膀胱尿道后角(RVA)、尿道倾斜角(UI)、膀胱颈与耻骨联合的垂直距离(BN-S)及肛提肌裂孔面积(LHA)。计算尿道旋转角度(UR)、膀胱尿道后角变化[RVA(V-A)]、膀胱颈移动度(BND)。结果:POP合并SUI患者表现为张力期膀胱尿道后角、膀胱颈移动度增加。POP合并SUI患者的漏斗形尿道内口发生率较POP不合并SUI者高(P0.05),漏斗形尿道内口发生率不伴随SUI的严重程度而增加。结论:POP基础上膀胱颈移动度、张力期膀胱尿道后角增加、漏斗形尿道内口的形成可能与POP合并SUI的发生有关。
[Abstract]:Objective: to study the parameter characteristics of female pelvic organ prolapse (POP) combined with stress urinary incontinence (SUI) by perineum ultrasonography. Methods: pelvic floor structure was examined by transperineal ultrasound in 60 patients with POP (including 25 patients without SUI,35 and SUI). The obliquity of (RVA), urethra angle of bladder urethra during resting period and tension phase was measured. Vertical distance between bladder neck and pubic symphysis (BN-S) and area of levator ani fissure area (LHA). Calculation of urethral rotation angle (UR), posterior angle of bladder urethra [RVA (V-A)], bladder neck mobility (BND). Results: the posterior angle of bladder urethra and the degree of bladder neck mobility were increased in patients with POP and SUI. The incidence of funnel urethral internal orifice in patients with POP and SUI was higher than that in patients without POP and SUI (P0.05). The incidence of funnel urethral orifice does not increase with the severity of SUI. Conclusion: on the basis of POP, the degree of bladder neck movement, the posterior angle of bladder urethra increased during tension period, and the formation of funnel urethral orifice may be related to the occurrence of POP with SUI.
【作者单位】：广东省韶关市粤北人民医院妇产科;
【基金】：广东省科技计划项目(No:2012B031800020)
【分类号】：R711

【相似文献】