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时间:2020-05-14
《经会阴二维超声在女性压力性尿失禁的临床应用.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、医学影像学杂志2015年第25卷第6期JMedImagingVo1.25No.62015经会阴二维超声在女性压力性尿失禁的临床应用朱娅娟,李常青,冯蕾。(1.安徽医科大学附属省立医院超声诊断科安徽合肥230001;2.云南省妇幼保健院超声诊断科云南昆明650051;3.云南医科大学第二附属医院超声诊断科云南昆明650101)【摘要】目的探讨经会阴部二维超声对压力性尿失禁患者进行诊断及初步分度评估。方法经会阴部二维超声对女性压力性尿失禁患者(SUI-I组25例及SUI—II组22例)及女性健康体检者(对照组4
2、2例)进行检查。以耻骨联合下缘为参照水平,矢状切面静息及最大Valsalva状态下观察并记录膀胱颈口(bladderneck,BN)的形态及BN活动度,Val—salva动作下的BSD与静息状态下BSD的差值结果①对照组静息及Valsalva状态下BN均处于闭合状态;SUI-I组静息状态下BN的闭合良好,而Valsalva状态下22/25例(88.0)的患者出现BN扩张;SUI—II组静息状态下BN的处于闭合状态,Valsalva状态下19/22例(86.4)患者出现BN扩张,二组的BN扩张均呈“漏斗”样改
3、变,即膀胱颈“漏斗”化。SUI—I组、SUI—II组BN扩张率均大于对照组,具有统计学意义,而SUI—I度组与suI—II度组的膀胱颈扩张率并无统计学差异;②SUI-I组、SUI-1I组及对照组三组间BN移动度比较,由大到小依次是SUI一Ⅱ>SUI-I>对照组,且差异有统计学意义(P4、禁;膀胱颈口;膀胱颈活动度中图分类号:R694.54;R445.1文献标识码:A文章编号:1006—9011(2015)06—1044—04Clinicalapplicationofperinealtwo-dimensionalultrasoundinfemalestressurinaryincontinenceZHUYa—juan。LjChang—qing。,FENGLei。1.DepartmentofUltrasound,TheProvincialHospitalAffiliatedtoAnhuiMed5、icalUniversity,Hefei230001,P.R.Cina2.DepartmentofUltrasound,YunnanWomanandChildHealthCareHospital,KunmingYunnan650051,P.R.China3.DepartmentofUltrasound,The2ndAffiliatedHospitalofKunmingMedicalUniversity,KunmingYunna650101,P.R.China[Abstract]ObjectiveToexpl6、oretheapplicationofperinealtwo—dimensionalultrasoundtechnique(SUI)inthediagnosisandpreliminaryindexevaluationforpatientswithstressurinaryincontinence.Methods89casesoffemalepatientswithstressurinaryincontinence(SUIgroupIandSUIgroupII)andfemalenormalsubjects7、(controlgroup)wereexaminedbyperinealtwo—dimensionalultrasoundtechnique.Takingtheloweredgeofpubicsymphysisasthereferencelevel,theblad—derneck(BN)morphologyandBNactivitywereobservedandrecordedundertheconditionoftherestingstateinsagittalsectionandthemaximumof8、Valsalvarespectively.Theverticaldistancefromtheloweredgeofpubicsymphysiswastakenasahorizontalline,andintothe45degreeangleofthebladdernecktothehorizontallinewasdenotedasBSD,BNactivityreferredtoasthedifferenceb
4、禁;膀胱颈口;膀胱颈活动度中图分类号:R694.54;R445.1文献标识码:A文章编号:1006—9011(2015)06—1044—04Clinicalapplicationofperinealtwo-dimensionalultrasoundinfemalestressurinaryincontinenceZHUYa—juan。LjChang—qing。,FENGLei。1.DepartmentofUltrasound,TheProvincialHospitalAffiliatedtoAnhuiMed
5、icalUniversity,Hefei230001,P.R.Cina2.DepartmentofUltrasound,YunnanWomanandChildHealthCareHospital,KunmingYunnan650051,P.R.China3.DepartmentofUltrasound,The2ndAffiliatedHospitalofKunmingMedicalUniversity,KunmingYunna650101,P.R.China[Abstract]ObjectiveToexpl
6、oretheapplicationofperinealtwo—dimensionalultrasoundtechnique(SUI)inthediagnosisandpreliminaryindexevaluationforpatientswithstressurinaryincontinence.Methods89casesoffemalepatientswithstressurinaryincontinence(SUIgroupIandSUIgroupII)andfemalenormalsubjects
7、(controlgroup)wereexaminedbyperinealtwo—dimensionalultrasoundtechnique.Takingtheloweredgeofpubicsymphysisasthereferencelevel,theblad—derneck(BN)morphologyandBNactivitywereobservedandrecordedundertheconditionoftherestingstateinsagittalsectionandthemaximumof
8、Valsalvarespectively.Theverticaldistancefromtheloweredgeofpubicsymphysiswastakenasahorizontalline,andintothe45degreeangleofthebladdernecktothehorizontallinewasdenotedasBSD,BNactivityreferredtoasthedifferenceb
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