Granados E A, de León H, Echeverría J
Servicio de Urología, Policlínica de Quetzaltenango, Guatemala.
Arch Esp Urol. 1996 Sep;49(7):741-4.
This analyzes the usefulness of transvaginal endosonography before and after surgery in patients with stress urinary incontinence.
We evaluated the bladder contour in 50 patients by transvaginal endosonography and the distance from the bladder neck to the pubis was measured with and without stress. If the distance was greater than 1 cm, it was presumed that the patient had stress urinary incontinence.
In these 50 patients, the distance between the bladder neck and the pubis without stress ranged from 15 mm to 28 mm (mean 32 mm). In 47 patients (94%), we observed a displacement of the bladder base and neck to the pubis greater than 1 cm, indicating stress urinary incontinence. Transvaginal endosonography was performed four weeks later and proved to be useful in patient evaluation postoperatively, regardless of the surgical technique utilized.
Transvaginal endosonography is a useful in the preoperative evaluation of patients with stress urinary incontinence and in evaluating the results of colposuspension.
本研究分析经阴道超声检查在压力性尿失禁患者手术前后的应用价值。
我们通过经阴道超声检查评估了50例患者的膀胱轮廓，并测量了有无压力时膀胱颈至耻骨的距离。如果该距离大于1厘米，则推测该患者患有压力性尿失禁。
在这50例患者中，无压力时膀胱颈与耻骨之间的距离为15毫米至28毫米（平均32毫米）。在47例患者（94%）中，我们观察到膀胱底部和颈部向耻骨的移位大于1厘米，提示压力性尿失禁。四周后进行经阴道超声检查，结果证明无论采用何种手术技术，该检查对术后患者评估均有用。
经阴道超声检查在压力性尿失禁患者的术前评估及评估阴道悬吊术结果方面均有用。
