女性排尿异常与盆底损伤的相关性研究

The study of correlation between female urination abnormality and pelvic floor injury

目的研究女性排尿异常与盆底损伤的相关性。方法选取广东省佛山市妇幼保健院自2015年1月至2017年1月收治的排尿异常成年女性患者,共收集193例,设为检查组,其中共包含下尿路症状(LUTS)84例、膀胱过度活动症(OAB)71例、压力性尿失禁(SUI)38例;选择佛山市妇幼保健院体检中心无明显排尿异常等症状的成年女性为对照组,共100例。两组分别进行盆底痛点检查并评分。结果检查组193例,LUTS、OAB、SUI痛点数依次为1 093、983、415个,合计2 491个;痛点疼痛评分总和依次为7 163、6 480、2 583分,合计16 226分;对照组100例,痛点数527个,痛点总分为1 377分。根据盆底损伤公式,计算得出检查组与对照组损伤分数分别为3.59分与0.24分,差异有统计学意义(P<0.01);LUTS组、OAB组、SUI组盆底损伤分数依次为3.67、4.18、2.46分,差异有统计学意义(P<0.01)。结论从整体上来说,女性排尿异常与其盆底损伤明显相关,与临床观察相符。

Objective To study the correlation between female urination abnormalities and pelvic floor injury. Methods A total of 193 adult women with urination abnormalities from January 2015 to January 2017 were selected from Foshan Maternal and Child Hospital of Guangdong Province, including 84 cases of lower urinary tract symptoms (LUTS), 71 cases of overactive bladder (OAB) and 38 cases of stress urinary incontinence (SUI). All patients aged 38-82 years (mean 51±3.74) were enrolled according to their clinical symptoms. 100 adult female patients without obvious symptoms such as abnormal urination were selected as the control group. Pelvic floor pain points were examined and scored in both groups. Results In the 193 cases, the number of pain points in LUTS, OAB and SUI were 1 093, 983 and 415, respectively, a total of 2 491.The total pain scores of pain points were 7 163, 6 480 and 2 583, with a total of 16 226 points. There were 100 cases in the control group with 527 pain points, and the total pain points were 1 377 points. According to the pelvic floor injury formula, the injury scores of the inspection group and the control group were calculated to be 3.59 vs 0.24 respectively, with statistically significant difference (P<0.01). The pelvic floor injury scores of LUTS group, OAB group and SUI group were 3.67, 4.18 and 2.46 respectively, with statistically significant difference (P<0.01). Conclusions Overall, female urination abnormalities are significantly associated with pelvic floor injury, which are consistent with clinical observation.