本文選題：女性盆底功能障礙性疾病 + 女性壓力性尿失禁�。� 參考：《重慶醫(yī)科大學(xué)學(xué)報(bào)》2015年12期

【摘要】：目的:探討盆底超聲和肌電生理檢查在女性壓力性尿失禁(female stress urinary incontinence,FSUI)中的臨床應(yīng)用意義。方法:對(duì)77例FSUI患者(病例組)和41例健康體檢女性(對(duì)照組)經(jīng)會(huì)陰盆底二維超聲觀察靜息時(shí)膀胱頸有無漏斗形成、靜息至Valsalva動(dòng)作后膀胱頸、膀胱后角及近端尿道的動(dòng)態(tài)變化情況;同時(shí)經(jīng)盆底肌電生理檢查評(píng)估盆底肌Ⅰ、Ⅱ類肌纖維肌力、疲勞度情況;并進(jìn)行比較及分析各參數(shù)與是否發(fā)生FSUI的相關(guān)性。結(jié)果:病例組靜息時(shí)膀胱頸漏斗形成率、靜息至Valsalva動(dòng)作后膀胱頸y軸位移(Δy)、靜息時(shí)膀胱后角(α)、Valsalva動(dòng)作后膀胱后角(β)、近端尿道旋轉(zhuǎn)度(γ)均大于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);病例組靜息至Valsalva動(dòng)作后膀胱頸x軸位移(Δx)略大于對(duì)照組,但差異無統(tǒng)計(jì)學(xué)意義(P0.05);病例組和對(duì)照組盆底Ⅰ/Ⅱ類肌纖維肌力、疲勞度差異無統(tǒng)計(jì)學(xué)意義(P0.05),但異常率均較高。以盆底超聲檢查聯(lián)合肌電生理檢查各參數(shù)為自變量,對(duì)是否發(fā)生FSUI為因變量進(jìn)行多因素logistic回歸分析,發(fā)現(xiàn)與發(fā)生FSUI顯著相關(guān)的參數(shù)為Δy(OR=5.444,95%CI=1.009~29.381,P=0.049)、膀胱頸漏斗形成(OR=2.789,95%CI=1.144~6.803,P=0.024)、Ⅰ類肌纖維肌力(OR=0.372,95%CI=0.150~0.924,P=0.033)。結(jié)論:盆底超聲檢查可實(shí)時(shí)動(dòng)態(tài)觀察FSUI患者盆底解剖學(xué)變化,提供豐富的影像學(xué)信息;盆底肌電生理檢查能早期有效評(píng)估女性盆底肌功能,其指標(biāo)異常甚至可在FSUI癥狀出現(xiàn)之前被檢出,指導(dǎo)臨床及時(shí)采取干預(yù)措施;二者結(jié)合可從解剖學(xué)和電生理學(xué)兩方面對(duì)FSUI患者的盆底情況進(jìn)行綜合評(píng)估,在FSUI的預(yù)測(cè)、診斷、臨床分型及治療方式選擇指導(dǎo)中均有重要意義。
[Abstract]:Objective: to investigate the clinical significance of pelvic floor ultrasound and electromyography in female stress urinary incontinence (stress urinary incontinence sui). Methods: 77 FSUI patients (case group) and 41 healthy women (control group) were examined by perineum pelvic floor two-dimensional ultrasound to observe whether the bladder neck had funnel formation during rest, and to rest to the bladder neck after Valsalva. The dynamic changes of the posterior horn and proximal urethra of the bladder, the muscle strength and fatigue of the pelvic floor muscle type 鈪，

本文編號(hào)：1820062