[1]徐净,张奥华,毛永江,等.膀胱颈移动度对女性压力性尿失禁患者的诊断价值[J].中华腔镜泌尿外科杂志(电子版),2016,10(01):22-25.[doi:10.3877/cma.j.issn.1674-3253.2016.01.006 ]
 Xu Jing,Zhang Aohua,Mao Yongjiang,et al.The bladder neck descent in the diagnosis of female stress urinary incontinence[J].,2016,10(01):22-25.[doi:10.3877/cma.j.issn.1674-3253.2016.01.006 ]
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膀胱颈移动度对女性压力性尿失禁患者的诊断价值()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年01期
页码:
22-25
栏目:
临床研究
出版日期:
2016-04-29

文章信息/Info

Title:
The bladder neck descent in the diagnosis of female stress urinary incontinence
作者:
徐净张奥华毛永江张新玲黄泽萍郑志娟曹君妍
510630广州,中山大学附属第三医院超声科,中山大学超声诊断与介入超声研究所
Author(s):
Xu Jing Zhang Aohua Mao Yongjiang Zhang Xinling Huang Zeping Zheng Zhijuan Cao Junyan.
Department of Medical Ultrasonics, the Third Affiliated Hospital, Institute of Diagnostic and Interventional Ultrasound, Sun Yat-sen University, Guangzhou 510630, China
关键词:
膀胱颈移动度压力性尿失禁实时三维超声
DOI:
10.3877/cma.j.issn.1674-3253.2016.01.006
摘要:
目的探讨膀胱颈移动度( BND)对女性压力性尿失禁( SUI)患者的诊断价值。方法应用经会阴实时三维超声技术,对 95例女性压力性尿失禁( SUI)患者在静息及最大 Valsalva两种状态下的超声图像进行观察并测出膀胱颈移动度( BND),同时与 244例正常女性作对照分析。以临床诊断作为诊断 SUI的金标准,使用受试者工作( ROC)曲线评价 BND诊断 SUI的诊断效能,并确定诊断临界值。结果最大 Valsalva动作时 SUI组的膀胱颈移动度明显大于对照组,两组结果比较差异有统计学意义( P<0.05)。BND诊断 SUI的曲线下面积为 0.755,最佳诊断临界值为 27.7 mm,BND诊断 SUI的敏感性、特异性、阳性预测值、阴性预测值、准确性分别为 57.89%、80.33%、52.88%、82.98%、73.75%。结论膀胱颈移动度对 SUI有一定的诊断价值,可为临床提供诊断依据。

参考文献/References:

[1]朱兰 ,郎景和 ,刘春燕 ,等.我国成年女性尿失禁患病状况的流行病学研究[J].中华妇产科杂志, 2009, 44(10): 776-779.
[2] Dietz HP, Clarke B, Herbison P. Bladder neck mobility and urethral closure pressure as predictors of genuine stress incontinence[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2002, 13 (5): 289-293.
[3] Mulder FE, Shek KL, Dietz HP. What's a proper push? The Valsalva manoeuvre revisited [J]. Aust N Z J Obstet Gynaecol, 2012, 52(3): 282-285.
[4] Dietz HP, Nazemian K, Shek KL, et al. Can urodynamic stress incontinence be diagnosed by ultrasound? [J]. Int Urogynecol J, 2013, 24(8): 1399-1403.
[5] Dietz HP. Pelvic floor ultrasound in incontinence: what's in it for the surgeon?[J]. Int Urogynecol J, 2011, 22(9): 1085-1097.
[6]中华医学会妇产科学分会妇科盆底学组.女性压力性尿失禁诊断和治疗指南 (试行 ) [J].中华妇产科杂志 , 2011, 46 (10): 796-798.
[7]文建国 ,朱文 ,杨黎 ,等.动态尿动力学与常规尿动力学检查评估女性压力性尿失禁的对比研究 [J].中华泌尿外科杂志, 2013, 34(2): 116-119.
[8] Dietz HP. Pelvic floor ultrasound: a review [J]. Am J Obstet Gynecol, 2010, 202(4): 321-334.
[9] Valsky DV, Cohen SM, Lipschuetz M, et al. Three-dimensional transperineal ultrasound findings associated with anal incontinence after intrapartum sphincter tears in primiparous women[J]. Ultrasound Obstet Gynecol, 2012, 39(1): 83-90.
[10] Dietz HP. Translabial ultrasound in the assessment of pelvic floor and anorectal function in women with defecatory disorders [J]. Tech Coloproctol, 2014, 18(5): 481-494.
[11] Delancey JO. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis [J]. Am J Obstet Gynecol, 1994, 170(6): 1713-1720.
[12]江丽 ,朱建平 ,叶培香 ,等.经会阴二维超声对压力性尿失禁女性患者盆底的动态观察与评估 [J].中华医学超声杂志:电子版 , 2012, 9(4): 299-303.
[13] Dietz HP, Hansell NK, Grace ME, et al. Bladder neck mobility is a heritable trait[J]. BJOG, 2005, 112(3): 334-339.

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备注/Memo

备注/Memo:
通讯作者:张新玲,Email:zhxl1205@126.com
本文编辑:阮星星 李文标) 徐净,张奥华,毛永江,等.膀胱颈移动度对女性压力性尿失禁患者的诊断价值[J/CD].中华腔镜泌尿外科杂志:电子版, 2016, 10(1
更新日期/Last Update: 1900-01-01