經會陰超聲評估盆腔臟器脫垂合并壓力性尿失禁的參數(shù)特點及意義
發(fā)布時間：2018-11-02 15:48
【摘要】：目的:研究經會陰超聲檢測女性盆腔臟器脫垂(POP)合并壓力性尿失禁(SUI)的參數(shù)特點。方法:經會陰超聲檢查60例POP患者(其中25例不合并SUI、35例合并SUI)的盆底結構,測量靜息期、張力期的膀胱尿道后角(RVA)、尿道傾斜角(UI)、膀胱頸與恥骨聯(lián)合的垂直距離(BN-S)及肛提肌裂孔面積(LHA)。計算尿道旋轉角度(UR)、膀胱尿道后角變化[RVA(V-A)]、膀胱頸移動度(BND)。結果:POP合并SUI患者表現(xiàn)為張力期膀胱尿道后角、膀胱頸移動度增加。POP合并SUI患者的漏斗形尿道內口發(fā)生率較POP不合并SUI者高(P0.05),漏斗形尿道內口發(fā)生率不伴隨SUI的嚴重程度而增加。結論:POP基礎上膀胱頸移動度、張力期膀胱尿道后角增加、漏斗形尿道內口的形成可能與POP合并SUI的發(fā)生有關。
[Abstract]:Objective: to study the parameter characteristics of female pelvic organ prolapse (POP) combined with stress urinary incontinence (SUI) by perineum ultrasonography. Methods: pelvic floor structure was examined by transperineal ultrasound in 60 patients with POP (including 25 patients without SUI,35 and SUI). The obliquity of (RVA), urethra angle of bladder urethra during resting period and tension phase was measured. Vertical distance between bladder neck and pubic symphysis (BN-S) and area of levator ani fissure area (LHA). Calculation of urethral rotation angle (UR), posterior angle of bladder urethra [RVA (V-A)], bladder neck mobility (BND). Results: the posterior angle of bladder urethra and the degree of bladder neck mobility were increased in patients with POP and SUI. The incidence of funnel urethral internal orifice in patients with POP and SUI was higher than that in patients without POP and SUI (P0.05). The incidence of funnel urethral orifice does not increase with the severity of SUI. Conclusion: on the basis of POP, the degree of bladder neck movement, the posterior angle of bladder urethra increased during tension period, and the formation of funnel urethral orifice may be related to the occurrence of POP with SUI.
【作者單位】： 廣東省韶關市粵北人民醫(yī)院婦產科;
【基金】：廣東省科技計劃項目(No:2012B031800020)
【分類號】：R711
[Abstract]:Objective: to study the parameter characteristics of female pelvic organ prolapse (POP) combined with stress urinary incontinence (SUI) by perineum ultrasonography. Methods: pelvic floor structure was examined by transperineal ultrasound in 60 patients with POP (including 25 patients without SUI,35 and SUI). The obliquity of (RVA), urethra angle of bladder urethra during resting period and tension phase was measured. Vertical distance between bladder neck and pubic symphysis (BN-S) and area of levator ani fissure area (LHA). Calculation of urethral rotation angle (UR), posterior angle of bladder urethra [RVA (V-A)], bladder neck mobility (BND). Results: the posterior angle of bladder urethra and the degree of bladder neck mobility were increased in patients with POP and SUI. The incidence of funnel urethral internal orifice in patients with POP and SUI was higher than that in patients without POP and SUI (P0.05). The incidence of funnel urethral orifice does not increase with the severity of SUI. Conclusion: on the basis of POP, the degree of bladder neck movement, the posterior angle of bladder urethra increased during tension period, and the formation of funnel urethral orifice may be related to the occurrence of POP with SUI.
【作者單位】： 廣東省韶關市粵北人民醫(yī)院婦產科;
【基金】：廣東省科技計劃項目(No:2012B031800020)
【分類號】：R711
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