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Received:August 10, 2017 Published Online:March 20, 2018
Received:August 10, 2017 Published Online:March 20, 2018
中文摘要: 目的 探讨经会阴实时三维超声观察膀胱颈移动度(BND)及肛提肌裂孔面积在女性压力性尿失禁(SUI)诊断中的价值。方法 选取2015年8月至2016年10月31例SUI患者为病例组,20例无症状者为对照组,两组患者均应用经会阴实时三维超声检查,分别计算最大Valsalva动作时的BND及肛提肌裂孔面积。结果 两组静息时膀胱颈位置无统计学差异(P>0.05)；最大Valsalva动作时病例组膀胱颈位置［（-0.91±5.75)mm vs (12.42±2.25)mm］及BND［(28.92±6.66)mm vs (15.24±3.09)mm］均明显大于对照组,差异均有统计学意义(P<0.01)。病例组静息状态时及最大Valsalva动作时肛提肌裂孔面积［(14.39±1.97) cm2 vs (12.44±1.87) cm2,(24.52±4.09) cm2 vs (17.98±3.11) cm2］均大于对照组,差异有统计学意义(P<0.01)。结论 最大Valsalva动作时BND及肛提肌裂孔面积对于诊断SUI有较高的价值。
Abstract:Objective To investigate the value of bladder neck descent(BND) and levator hiatus area by transperineal real-time three-dimensional ultrasound in the diagnosis of female stress urinary incontinence(SUI).? Methods Transperineal real-time three-dimensional ultrasound was performed in 31 female SUI patients (case group) and 20 asymptomatic patients (control group) from August 2015 to October 2016. BND and levator hiatus areawere respectively calculatedas the maximum Valsalva movement.? Results There was no statistical difference in the position of bladder neck in resting state between two groups (P＞0.05). The bladder neck position [(-0.91±5.75) mm vs (12.42±2.25)mm] and BND［(28.92±6.66)mm vs (15.24±3.09)mm] in maximum Valsalva state were significantly larger than those in control group(all P<0.01). The levator hiatus areas in both resting state and Valsalva state in case group were significantly lager than those in control group［(14.39±1.97)cm2 vs (12.44±1.87)cm2, (24.52±4.09)cm2 vs (17.98±3.11)cm2, all P<0.01].? Conclusion BND and levator hiatus area in maximum Valsalva movement have important value in the diagnosis of female SUI.
keywords: Stress urinary incontinence Bladder neck descent Area of levator hiatus Real-time three-dimensional ultrasound
文章编号： 中图分类号：R 694+.54，R 445.1 文献标志码：B
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