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经会阴超声检查与膀胱造影术在尿失禁中的应用比较

[Transperineal ultrasonography versus cystography in urinary incontinence].

作者信息

Anastasi Giuseppina, Crea Giovanni, Magno Carlo, Galì Alessandro, Sanfilippo Graziella, Melloni Darwin

机构信息

Cattedra di Urologia, Università degli Studi di Messina.

出版信息

Arch Ital Urol Androl. 2002 Dec;74(4):260-2.

PMID:12508744
Abstract

The aim of this study is to evaluate diagnostic accuracy of perineal ultrasound versus cystography in patients affected by urinary incontinence (UI). 40 patients affected by UI were evaluated by voiding cystography and by perineal ultrasound through sagittal scans. Bladder floor related to public simphysis, urethro-vesical angle, bladder neck dilatation after an increase of abdominal pressure with or without urine leakage, were checked. The comparison with urinary cystography gave similar results. In our experience perineal ultrasound study of pelvic floor showed, in the evaluation of urinary incontinence, the same accuracy of the urinary cystography. Ultrasound study allows a good visualization of the anatomic structures of the pelvic floor and of the lower urinary tract and a good evaluation of the tissues; it also offers easy performance, low cost, less invasivity and a better compliance.

摘要

本研究的目的是评估会阴超声与膀胱造影术对尿失禁(UI)患者的诊断准确性。通过排尿膀胱造影术和经矢状扫描的会阴超声对40例尿失禁患者进行了评估。检查了与耻骨联合相关的膀胱底部、尿道膀胱角、增加腹压后有无漏尿时的膀胱颈扩张情况。与会阴超声的比较结果相似。根据我们的经验,在评估尿失禁时,盆底的会阴超声检查显示出与膀胱造影术相同的准确性。超声检查能够很好地显示盆底和下尿路的解剖结构,并对组织进行良好的评估;它还具有操作简便、成本低、侵入性小和依从性好等优点。

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