盆腔脏器脱垂患者尿动力学检查80例临床分析  

Analysis of Urodynamics in 80 Women with Pelvic Organ Prolapse

作　　者：李晓伟[1] 苗娅莉[1] 张晓红[1] 王建六[1] 魏丽惠[1] 张晓鹏[1] 许克新[1] 

机构地区：[1]北京大学人民医院,北京100044

出　　处：《实用妇产科杂志》2010年第5期372-375,共4页Journal of Practical Obstetrics and Gynecology

基　　金：卫生部重点学科项目(2007);首都医学发展基金项目(2007-301122)

摘　　要：目的:探讨女性盆腔脏器脱垂(POP)患者的尿动力学特点及临床意义。方法:对2005年7月至2009年3月80例因POP行手术治疗患者进行尿动力学检查,其中有尿失禁症状38例,尿路刺激症状20例,排尿困难14例,无任何排尿异常8例。结果:尿失禁症状、尿路刺激和排尿困难尿动力检查符合率分别为73.7%(28/38),55.0%(11/20)和71.4%(10/14)。Aa位于-1～+1cm之间时尿动力检查诊断尿失禁率高达66.7%。根据患者症状及尿动力学检查结果,80例患者进行相应的手术及药物治疗,均取得较好疗效。结论:尿动力学检查对女性POP合并排尿功能障碍的诊治具有重要意义,Aa位于-1点以下时,无论有无排尿异常,应行尿动力学检查明确有无压力性尿失禁。Objective：Urodynamics and clinical significance were explored in women with pelvic organ prolapse.Methods：80 patients with pelvic organ prolapse were recruited from July,2005 to March,2009,the urodynamics were examined after operation.Among these patients,38 had urinary incontinence symptoms,20 had urinary irritation symptoms,14 had urinate,8 were asymptomatic.Results：The coincidence rates after urodynamic examination for urinary incontinence,urinary irritation,and urinate were respectively 73.7%（28/38）,55.0%（11/20）and 71.4%（10/14）.The incontinence diagnostic accuracy by urodynamics was 66.7% when Aa was ＋1 ～-1 cm according to the symptoms and urodynamic results,80 patients had operation and medication treatment with good results.Conclusions：Urodynamics plays a very important role in the diagnosis and treatment for female pelvic organ prolapse complicated with urination problems.When Aa≥-1cm,no matter what the symptoms are,urodynamics should be applied to clarify whether there is stress urinary incontinence.

关 键 词：盆腔脏器脱垂 尿失禁 尿路刺激症状 排尿困难 尿动力学检查 

分 类 号：R711.2[医药卫生—妇产科学]