中老年女性盆腔器官脱垂患者尿动力学检查106例临床分析  

Analysis of urodynamics in women with pelvic organ prolapse

作　　者：程大丽[1] 

机构地区：[1]中国医科大学附属盛京医院妇产科,辽宁省沈阳市110003

出　　处：《实用老年医学》2011年第6期493-495,共3页Practical Geriatrics

摘　　要：目的探讨女性盆腔脏器脱垂(pelvic organ prolapse,POP)的尿动力学特点,了解盆腔脏器脱垂与压力性尿失禁(stress urinary incontinence,SUI)的关系。方法对2006年1月至2009年12月在本院就诊的106例女性盆腔脏器脱垂患者,采用盆腔脏器脱垂评估分类法(pelvic organ prolapse quantitative examination,POP-Q)评估,并进行尿动力学检查,测定尿动力学参数,对结果进行统计学分析。结果 106例盆腔脏器脱垂患者中,合并SUI 76例(Ⅰ型SUI 36例,Ⅱ型24例,Ⅲ型16例)(71.7%,76/106),混合性尿失禁10例(9.4%,10/106)。结论盆腔脏器脱垂与SUI密切相关。尿动力学检查在女性盆腔脏器脱垂的诊断治疗方面具有重要指导意义。Objective To study the characteristics of pelvic organ prolapse（POP）and its relationship with stress urinary incontinence（SUI） in women with POP by the urodynamic method.Methods From January 2006 to December 2009,106 peri-menopausal and post-menopausal women who were diagnosed as POP in Shengjing Hospital,China Medical University were included in this study.The urodynamics test which was based on the pelvic organ prolapse quantitative examination（POP-Q）was examined in those 106 women.The urodynamics parameters of the patients were measured according to the principle made by the International Continence Society（ICS）.Informed consent was obtained from all participants.Results Among 106 patients,76 of them had stress urinary incontinence（36 with type Ⅰstress urinary incontinence,24 with typeⅡstress urinary incontinence,16 with type Ⅲ stress urinary incontinence）（71.7%,76/106）,10 of them had mixed urinary incontinence（9.4%,10/106）.Conclusions Women with POP may often associate with various degrees of stress urinary incontinence.Urodynamics may play an important role in the treatment of POP.

关 键 词：盆腔脏器脱垂 压力性尿失禁 尿动力学 

分 类 号：R711.2[医药卫生—妇产科学]