| 张国正葛群伍颖恒.女性压力性尿失禁患者盆底三维超声显像初步研究[J].,2012,12(27):5299-5301 |
| 女性压力性尿失禁患者盆底三维超声显像初步研究 |
| Investigation of Pelvic Floor in Female Stress Urinary Incontinence byThree-Dimentional Ultrasound |
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| DOI： |
| 中文关键词: 三维超声 压力性尿失禁 肛提肌 女性 |
| 英文关键词: Three-dimentional ultrasound Stress urinary incontinence Llevator ani Female |
| 基金项目:广州市医药卫生科技项目（2009-YB-076） |
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| 中文摘要: |
| 目的：通过三维超声对正常未孕妇女及产后压力性尿失禁(SUI)患者的盆底结构显像，研究SUI 患者的膀胱颈尿道活动度及
肛提肌变化，评估三维超声显像对女性盆底病变的诊断价值。方法：分别对研究组和对照组行盆底结构三维超声检查，测量膀胱
尿道连接部的直接移动度（UVJ－M）、张力期膀胱尿道后角、静息期及张力期耻骨直肠肌厚度、耻骨直肠肌夹角，观察肛提肌形
态。结果：SUI 研究组UVJ－M 15.93±2.07mm，较对照组7.64±1.37mm 增大（P<0.01），研究组张力期膀胱尿道后角145.90±
22.03°，较对照组106.49±14.32°增大（P<0.01），研究组静息期耻骨直肠肌厚度6.39±0.48 小于对照组6.71±0.69（P<0.05），研
究组张力期耻骨直肠肌厚度6.13±0.49 小于对照组6.64±0.61（P<0.05），静息期研究组耻骨直肠肌夹角70.08±3.15 大于对照组
69.45±2.19°，但无统计学意义（P＞0.05），张力期75.49±3.92 大于对照组70.35±1.51°（P<0.01）。结论：三维超声显像能直观有
效地观察女性尿道、肛提肌等盆底结构，对诊断压力性尿失禁是一个有意义的辅助手段。 |
| 英文摘要: |
| Objective: Observing pelvic floor by three-dimentional ultrasound in nulliparous women and postpartum stress urinary
incontinence(SUI) , to investigate the changes of the bladder neck and urethral mobility and the changes of levator ani caused by trauma .
To assess the value of three-dimentional ultrasound in diagnosing female SUI. Methods: In control group and study group, we observed
pelvic floor visualized by three-dimentional ultrasound and measured the mobility of urethrovesical junction （UVJ－M）, poster
urethrovesical angle during the Valsalva maneuver, measured pubovisceral muscle thickness and pubovisceral muscle angles at rest time
and during the Valsalva maneuver, respectively. Results: In study group, UVJ－M 15.93±2.07mm is larger than control group 7.64±
1.37mm （P<0.01）, poster urethrovesical angle 145.90±22.03°is larger than control group 106.49±14.32°too （P<0.01）. The
pubovisceral muscle thickness of study group 6.39±0.48 mm is thinner than control group 6.71±0.69 （P<0.05）at rest time , during the
Valsalva maneuver study group 6.13±0.49 mm is thinner than control group 6.64±0.61 too （P<0.05）. The angle of pubovisceral
muscle in study group 70.08±3.15 at rest time is larger than control group 69.45±2.19°, but there is no significant difference （P＞
0.01）. The angle 75.49±3.92°during the Valsalva maneuver is larger than control group 70.35±1.51°（P<0.01）. Conclusions: It is
direct to observe female pelvic floor by three-dimentional ultrasound imaging .It is a sensitive and effective method to diagnose SUI. |
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