摘要
目的:探讨女性膀胱脱垂的超声特点及其与压力尿失禁(SUI)的相关性。方法:将2016年4月-2018年4月就诊的90例膀胱脱垂合并SUI的患者,设为脱垂+SUI组;将同期90例膀胱脱垂患者设为脱垂组;另将95例健康体检女性设为对照组(无泌尿系统疾病)。各组均经会阴进行盆底二维超声检查。比较各组超声参数,根据二维超声检测结果进行膀胱脱垂的分型。比较不同分型膀胱脱垂患者的超声参数。结果:脱垂+SUI组和脱垂组的膀胱尿道后角(PUA)、膀胱颈下降值(BND)、膀胱后壁最低点下降值、尿道旋转角均明显高于对照组,均差异有统计学意义(P<0.01)。脱垂+SUI组的膀胱后壁最低点下降值、尿道旋转角均明显低于脱垂组,差异有统计学意义(P<0.01)。脱垂+SUI组以Ⅰ、Ⅱ型膀胱脱垂为主。Ⅰ、Ⅱ型膀胱脱垂患者的PUA均明显高于Ⅲ型,膀胱后壁最低点下降值、尿道旋转角均明显低于Ⅲ型,均差异有统计学意义(P<0.01)。结论:二维盆底超声能够对膀胱脱垂及其不同类型进行评估和分析。SUI患者的膀胱脱垂以膀胱尿道膨出为主,主要超声表现特点为膀胱尿道后角增大及膀胱颈漏斗的形成。
Objective:To explore the relationship between cystocele and stress urinary incontinence(SUI)in women by ultrasonography.Methods:From April 2016 to April 2018,90 patients with cystocele complicated with SUI treated in our hospital were set as the cystocele+SUI group.In the same period,90 patients with cystocele who came to our hospital were set as the cystocele group(without SUI).During the same period,95 female patients who came to our hospital for physical examination were set as the control group(no urinary system disease).Two-dimensional ultrasound examination of pelvic floor was performed by perineum in each group.The ultrasound parameters of each group were compared,and the bladder prolapse was classified according to the results of two-dimensional ultrasound.The ultrasound parameters of patients with cystocele of different types were compared.Results:In both the cystocele+SUI group and the cystocele group,the posterior cystourethral angle(PUA),the descending value of bladder neck(BND),the descending value of the lowest point of the posterior wall of the bladder and the rotation angle of the urethra were significantly increased as compared with those in the control group(P<0.01).In the cystocele+SUI group,the lowest point of the posterior wall of the bladder and the rotation angle of the urethra were significantly reduced as compared with those in the cystocele group(P<0.01).In the cystocele+SUI group,type I andⅡcystocele dominated.The PUA of patients with typeⅠand typeⅡcystocele was significantly increased,and the lowest point of the posterior wall of the bladder and the rotation angle of the urethra were significantly decreased as compared with that of typeⅢ(P<0.01).Conclusion:Two-dimensional pelvic floor ultrasound can be used to evaluate and analyze cystocele and its different types.Cystocele in SUI patients is mainly cystourethrocele,and the main ultrasonic manifestations are enlargement of the posterior angle of cystourethra and formation of the bladder neck funnel.
作者
邓舒昊
江泉
朱一成
张爱
王永兵
周庆华
张渊
DENG Shuhao;JIANG Quan;ZHU Yicheng;ZHANG Ai;WANG Yongbing;ZHOU Qinghua;ZHANG Yuan(Department of Ultrasound,Pudong New Area People's Hospital Affiliated to Shanghai Health University,Shanghai 201200,China)
出处
《微创泌尿外科杂志》
2020年第4期260-264,共5页
Journal of Minimally Invasive Urology
基金
浦东新区卫生和生育计划委员会青年科技项目(PW2018B-04)
关键词
超声
膀胱脱垂
压力性尿失禁
ultrasound
cystocele
stress urinary incontinence
