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目的探讨尿动力学检查在女性盆底功能障碍性疾病合并压力性尿失禁患者中的应用价值。方法选择2011年1月-2015年12月台州医院收治的140例盆底功能障碍性疾病合并压力性尿失禁患者作为研究对象,采用多通道尿动力学检测仪对患者进行尿动力学检查。结果压力性尿失禁Ⅰ级、Ⅱ级、Ⅲ级患者年龄和绝经时间比较,差异有统计学意义(P<0.05),病程、BMI、孕次和产次比较,差异无统计学意义(P>0.05),腹压漏尿点压比较,差异有统计学意义(P<0.05),最大膀胱容量、最大逼尿肌压力、残余尿、最大尿流率比较,差异无统计学意义(P>0.05)。腹压漏尿点压<60 cmH_2O患者中,压力性尿失禁Ⅰ级、Ⅱ级、Ⅲ级分别占22.6%、35.5%、41.9%;60~90 cmH_2O患者中分别占24.0%、60.0%、16.0%;>90 cmH_2O患者中分别占61.0%、28.8%、10.2%,各级别腹压漏尿点压分级比较,差异有统计学意义(P<0.05)。结论尿动力学检查在女性盆底功能障碍性疾病合并压力性尿失禁的诊断中具有一定价值,腹压漏尿点压可用于判断尿失禁程度。
Objective To investigate the value of urodynamic examination in female patients with pelvic floor dysfunction and stress urinary incontinence. Methods A total of 140 patients with pelvic floor dysfunction and stress urinary incontinence admitted to Taizhou Hospital from January 2011 to December 2015 were enrolled in this study. The urodynamic examination was performed with a multi-channel urodynamic analyzer. Results There were significant differences in age and menopausal time between stress urinary incontinence grade Ⅰ, grade Ⅱ and grade Ⅲ patients (P <0.05), duration of disease, BMI, gestational age and birth parity (P> 0.05). There was no significant difference in maximum urinary bladder pressure, maximal detrusor pressure, residual urine and maximal urinary flow rate between the two groups (P> 0.05) ). In patients with abdominal pressure and urinary pressure <60 cmH_2O, stress urinary incontinence accounted for 22.6%, 35.5% and 41.9% respectively for grade Ⅰ, Ⅱ and Ⅲ, and were respectively 24.0%, 60.0% and 60.0% in 60-90 cmH_2O patients %, And those in> 90 cmH_2O patients accounted for 61.0%, 28.8% and 10.2%, respectively. There was significant difference in urinary pressure point pressure at all levels (P <0.05). Conclusion Urodynamic examination has some value in the diagnosis of pelvic floor dysfunction disease complicated with stress urinary incontinence. Urinary pressure of abdominal pressure can be used to judge the degree of urinary incontinence.