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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 被引量：13

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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(P<0.05),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。
作者 陈惠英 许红雁
机构地区 广东省韶关市粤北人民医院妇产科
出处 《现代妇产科进展》 CSCD 北大核心 2015年第3期209-211,共3页 Progress in Obstetrics and Gynecology
基金 广东省科技计划项目(No:2012B031800020)
关键词 超声 盆底功能障碍性疾病 盆腔脏器脱垂 压力性尿失禁
分类号 R711.59 [医药卫生—妇产科学]
  • 相关文献

参考文献16

  • 1Hendrix SL,Clark A,Nygaard I,et al.Pelvic organ prolapse in the Women's Health Initiative:gravity and gravidity[J].Am J Obstet Gynecol,2002,186(6):1160-1166.
  • 2李龙坤,那彦群,叶章群,等.女性压力性尿失禁诊断治疗指南[J].中华妇产科杂志,2009,46(10):796-798.
  • 3Santoro GA,Wieczorek AP,Dietz HP,et al.State of the art:an integrated approach to pelvic floor ultrasonography[J].Ultrasound Obstet Gynecol,2011,37(4):381-396.
  • 4Chantarasorn V,Dietz H.Diagnosis of cystocele type by clinical examination and pelvic floor ultrasound[J].Ultrasound Obstet Gynecol,2012,39(6):710-714.
  • 5Chen HY,Huang YL,Hung YC,et al.Evaluation of stress urinary incontinence by computer-aided vector-based perineal ultrasound[J].Acta Obstet Gynecol Scandinavica,2006,85(10):1259-1264.
  • 6Petros PEP:The female pelvic floor:function,dysfunction and management according to the integral theory:Springer;2011.
  • 7Al-Mandeel H,Ross S,Robert M,et al.Incidence of stress urinary incontinence following vaginal repair of pelvic organ prolapse in objectively continent women[J].Neurourol Urodynamics,2011,30(3):390-394.
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二级参考文献20

  • 1文建国.尿动力学检查在女性尿失禁诊断中的应用[J].中华妇产科杂志,2004,39(10):717-720. 被引量：40
  • 2Granados Loarca EA,Alcahe VR,de Leon Lopez H,et al.The usefulness of perineal ultrasound in urinary incontinence in women.Arch Esp Urol,1999,52:778-782.
  • 3Trvegar C,Gagger M,Holzgreve W,et al.Correlation of perineal ultrsound and lateral chain urethrocystography in the anatomical evaluation of the bladder neck.Int Urogynecol J Pelvic Floor Dysfunct,2003,14:380-384.
  • 4Pregazzi R,Sartore A,Bortoli P,et al.Perineal ultrasound evaluation of uretral angel and bladder neck mobility in women with stress urinary incontinence.BJOG,2002,109:821-827.
  • 5Dietz HP,Clarke B.The urehral pressure profile and ultrasound imaging of the lower urinary tract.Int Urogynecol J Pelvic Floor Dysfunct,2001,12:38-41.
  • 6Dietz HP,Macknolty L,Clarke B.Translabial color Doppler for imaging in mogynecology:a preliminary report.Ultrasound Obstet Gynecol,1999,14:144-147.
  • 7Dietz HP,Clarke B.Translabial color Doppler urodynamics.Int Urogynecol J Pelvic Floor Dysfunct,2001,12:304-307.
  • 8Dietz HP.Ultrasound imagig of the pelvic floor.Part II:three-dimensional or volume imaging.Ultrasound Obstet Gynecol,2004,23:615-625.
  • 9Poon CI,Zimnern PE,Wilson TS,et al.Three-dimensional ultrasonography to assess long-term durability of periurethral collagen in women with stress urinary incontinence due to intrinsic sphincter deficiency.Urology,2005,65:60-64.
  • 10Dietz HP,Strensma AB,Hastings R.Three-dimensional ultrasound imaging of the pelvic floor:the effect of partuntition on paravaginal support structure.Ultrasound Obstet Gynecol,2003,21:589-595.

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现代妇产科进展
2015年 第3期

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