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会阴超声检查在两种不同压力性尿失禁手术方法术后评估中的应用

Perineal ultrasonography in postoperative assessment of two different surgical procedures for stress urinary incontinence.

作者信息

Demirci F, Kuyumcuoğlu U, Kekovali M, Ergenekon E, Eren S, Uludoğan M, Sofuoğlu K

机构信息

Department of Gynaecologic Urology, Zeynep Kamil Women and Children's Hospital, Istanbul, Turkey.

出版信息

Int Urol Nephrol. 1995;27(3):279-87. doi: 10.1007/BF02564763.

DOI:10.1007/BF02564763
PMID:7591591
Abstract

Thirty-eight incontinent and 57 continent patients who had undergone MMK urethropexy and anterior colporrhaphy procedures were examined by perineal ultrasonography. Bladder neck hypermobility was described with ventrodorsal and cephalocaudal directional parameters. In the incontinent patients both cephalocaudal and ventrodorsal mobilities were found to be significantly greater compared to the continent group, the latter ultrasonographic parameter being relatively more significant (P < 0.01 and P < 0.001, respectively). In surgically cured patients who underwent the MMK procedure both ventrodorsal and cephalocaudal mobility had been significantly limited in contrast to their incontinent counterparts; but these differences had been detected only in ventrodorsal mobility by the anterior colporrhaphy procedure.

摘要

对38例尿失禁患者和57例尿控正常患者进行了会阴超声检查,这些患者均接受了经阴道尿道中段吊带术(MMK)和阴道前壁修补术。通过腹背和头尾方向参数描述膀胱颈活动过度情况。结果发现,与尿控正常组相比,尿失禁患者的头尾和腹背活动度均显著更大,后一个超声参数相对更显著(分别为P < 0.01和P < 0.001)。接受MMK手术且手术治愈的患者,其腹背和头尾活动度与尿失禁患者相比均受到显著限制;但通过阴道前壁修补术仅在腹背活动度方面检测到这些差异。

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引用本文的文献

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[Perineal ultrasound for diagnostics of male stress incontinence: comparative study on the application of urogynecological standards for men and women].[经会阴超声诊断男性压力性尿失禁:男女泌尿妇科标准应用的比较研究]
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本文引用的文献

1
Simultaneous recording of intravesical and intra-urethral pressure. A study on urethral closure in normal and stress incontinent women.膀胱内压与尿道内压同步记录。对正常及压力性尿失禁女性尿道闭合情况的研究。
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Bladder neck mobility evaluated by vaginal ultrasonography.
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Transvaginal ultrasonography: a study with healthy volunteers and women with genuine stress incontinence.经阴道超声检查:一项针对健康志愿者和真性压力性尿失禁女性的研究。
Eur Urol. 1993;24(2):226-30. doi: 10.1159/000474299.
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One hundred unstable bladders.一百个不稳定膀胱。
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