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盆底三维超声对压力性尿失禁女性膀胱颈的观察 预览

Dynamic observation of the bladder neck with transperineal ultrasonography in the diagnosis of female stress urinary incontinence
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摘要 经会阴盆底三维超声观察压力性尿失禁女性膀胱颈的动态位置变化。方法 选取2015年1月至2017年6月在我院诊断为压力性尿失禁的女性120例(病例组),同期选取无症状健康女性70例(对照组)。测量静息状态及Valsalva动作后的膀胱颈距离参考线位置,参考线上为正数(+),参考线下为负数(-),计算膀胱颈移动度,比较两组女性在静息状态和Valsalva动作后的膀胱颈相对位置。结果 静息状态病例组膀胱颈位置为距离参考线(2.63±0.37)cm,对照组为距离参考线(2.51±0.45)cm,Valsalva动作后病例组膀胱颈位置为距离参考线(-1.83±1.07)cm,对照组为距离参考线(1.21±0.65)cm,病例组膀胱颈移动度为(3.11±1.34)cm,对照组为(1.81±0.75)cm。静息状态两组膀胱颈位置比较差异无统计学意义(P>0.05),Valsalva动作后两组膀胱颈位置及膀胱颈移动度结果比较差异有统计学意义(P<0.05)。结论 经会阴盆底超声动态检查显示,压力性尿失禁女性Valsalva动作后的膀胱颈位置明显降低、膀胱颈移动度增大。 Objective To observe the dynamic changes of bladder neck with transperineal ultrasonography in women with stress urinary incontinence(SUI).Methods A total of 120 SUI cases treated during Jan.2015 and Jun.2017 were enrolled in the case group,and 70 healthy subjects served as the control group.The position of the bladder neck was measured with ultrasound in the resting state and on maximum Valsalva.If the bladder neck was above the line of reference,the result was positive,while if it was below the line of reference,the result was negative.The bladder neck descent(BND)was calculated,and the relative positions of the bladder neck were compared between the two groups.Results In the resting state,the bladder neck was(2.63±0.37)cm to the line of reference in the case group and(2.51±0.45)cm in the control group(P>0.05).On maximum Valsalva,the bladder neck was(-1.83±1.07)cm in the case group and(1.21±0.65)cm in the control group,and the BND was(3.11±1.34)cm in the case group and(1.81±0.75)cm in the control group(P<0.05).Conclusion Transperineal ultrasonography indicates that on maximum Valsalva,the bladder neck is lower in position and BND is increased in women with SUI.
作者 刘莉 穆靓 南淑良 韦爱华 孙羿 李玢 管湘平 姜向阳 LIU Li;MU Liang;NAN Shu-liang;WEI Ai-hua;SUN Yi;LI Bin;GUAN Xiang-ping;JIANG Xiang-yang(Ultrasound Diagnosis Center,Shaanxi Provincial People's Hospital,Xi'an 710068,China;Department of Urology,Shaanxi Provincial People's Hospital,Xi'an 710068,China;Department of Gynecology&Obstetrics,Shaanxi Provincial People's Hospital,Xi'an 710068,China)
出处 《现代泌尿外科杂志》 CAS 2018年第12期922-924,共3页 Journal of MOdern Urology
基金 国家自然科学基金青年项目(No.81501238) 陕西省科技厅重点研发计划一般项目(No.2017SF-267) 陕西省科技厅科学技术研究发展计划项目(No.2014K11-03-09-06) 陕西省人民医院孵化基金项目(No.2016YX-05)。
关键词 超声 膀胱颈 压力性尿失禁 ultrasonography bladder neck stress urinary incontinence
作者简介 刘莉(1973-),女(汉族),学士,副主任医师.研究方向:盆底及泌尿系超声诊断.E-mail:lilizxg@163.com;通信作者:韦爱华.主治医师.E-mail:774629189@qq.com
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  • 1Dietz HP, Clarke B, Herbison P. Bladder neck mobility and urethral closure pressure as predictors of genuine stress incontinence[J]. Int Urogynecol J Pelvic Floor Dysfimct, 2002, 13 (5): 289-293. 被引量:1
  • 2Mulder FE, Shek KL, Dietz HP. What's a proper push? The Valsalva manoeuvre revisited [J]. Aust N Z J Obstet Gynaecol, 2012, 52(3): 282-285. 被引量:1
  • 3Dietz HP, Nazemian K, Shek KL, et al. Can urodynamic stress incontinence be diagnosed by ultrasound? [J]. Int Urogynecol J, 2013, 24(8): 1399-1403. 被引量:1
  • 4Dietz HP. Pelvic floor ultrasound in incontinence: what's in it for the surgeon?[J]. Int Urogynecol J, 2011, 22(9): 1085-1097. 被引量:1
  • 5Dietz HP. Pelvic floor ultrasound: a review [J]. Am J Obstet Gynecol, 2010, 202(4): 321-334. 被引量:1
  • 6Valsky DV, Cohen SM, Lipschuetz M, et al. Three-dimensional transperineal ultrasound findings associated with anal incontinence after intrapartum sphincter tears in primiparous women[J]. Ultrasound Obstet Gynecol, 2012, 39(1): 83-90. 被引量:1
  • 7Dietz HP. Translabial ultrasound in the assessment of pelvic floor and anoreetal function in women with defecatory disorders [J]. Tech Coloproctol, 2014, 18(5): 481-494. 被引量:1
  • 8Delancey JO. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis [J]. Am J Obstet Gynecol, 1994, 170(6): 1713-1720. 被引量:1
  • 9Dietz HP, Hansell NK, Grace ME, et al. Bladder neck mobility is a heritable trait[J]. BJOG, 2005, 112(3): 334-339. 被引量:1
  • 10朱兰,郎景和,刘春燕,刘星名,韩少梅,李琳.我国成年女性尿失禁患病状况的流行病学研究[J].中华妇产科杂志,2009,44(10):776-779. 被引量:70

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