本文關鍵詞： 膀胱疾病 脫垂 尿失禁 壓力性 超聲檢查 多普勒 彩色　出處：《中國臨床醫(yī)學影像雜志》2017年11期 　論文類型：期刊論文

【摘要】：目的:探討經(jīng)會陰超聲評估膀胱脫垂分型與女性壓力性尿失禁之間的相關性。方法 :對經(jīng)臨床或尿動力學證實的83例膀胱脫垂合并壓力性尿失禁患者(SUI組)、78例膀胱脫垂不合并尿失禁患者(脫垂組)行會陰超聲檢查,測量在靜息狀態(tài)和最大Valsalva狀態(tài)下膀胱頸及膀胱后壁最低點的位置、尿道傾斜角及膀胱尿道后角等指標,并計算膀胱頸及膀胱后壁最低點下降值及尿道旋轉角等。81例正常體檢女性為對照組。結果:SUI組與脫垂組分別診斷膀胱尿道膨出73例、37例,兩組分別診斷孤立性膀胱膨出10例、41例,SUI組與脫垂組中膀胱脫垂的分型差異有統(tǒng)計學意義(P0.05);不論在SUI組或脫垂組,其診斷的不同膀胱脫垂類型的膀胱頸下降值均無明顯差異(P0.05),而膀胱后壁最低點下降值、膀胱尿道后角及尿道旋轉角有明顯統(tǒng)計學差異(P0.05);Valsalva動作后,SUI組、脫垂組分別與對照組進行對比,各超聲測量指標均有統(tǒng)計學差異(P0.05)。結論:經(jīng)會陰超聲能夠診斷膀胱脫垂類型,不同膀胱脫垂類型的盆底解剖結構改變不同,其中膀胱尿道膨出與壓力性尿失禁關系密切。
[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.
【作者單位】： 蘭州大學第二醫(yī)院;
【基金】：蘭州市科技計劃項目(項目編號:2016-2-71)
【分類號】：R445.1;R711.59
【正文快照】： 盆腔器官脫垂及壓力性尿失禁(Stress urinaryincontinence,SUI)是由于盆底支持組織結構的缺陷及功能障礙所造成的,嚴重影響女性的健康和生活。經(jīng)會陰盆底超聲能夠診斷前盆腔臟器脫垂類型,將前盆腔器官脫垂分為膀胱尿道膨出(Green typeⅠ、Ⅱ型)和孤立性膀胱膨出(Green typeⅢ

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