经阴道/直肠超声检查女性膀胱颈梗阻的声像图特点分析  

Analysis on Ultrasonography for Diagnosing Female Bladder Neck Obstruction by Transvaginal Ultrasound or Transrectal Ultrasound

作　　者：张卫兵[1] 刘华[1] 汤元杰[2] 沈荣华[1] 何贝丽 金霞[1] 

机构地区：[1]武警江苏省总队医院超声影像中心,江苏省扬州市225003 [2]武警江苏省总队医院泌尿外科,江苏省扬州市225003

出　　处：《中国全科医学》2014年第12期1445-1447,共3页Chinese General Practice

摘　　要：目的探讨经阴道/直肠超声检查女性膀胱颈梗阻的声像图特点。方法回顾性分析2011年1月—2013年3月武警江苏省总队医院收治的36例确诊为膀胱颈梗阻的女性患者(梗阻组)及同期36例同年龄段无膀胱颈梗阻症状的女性检查者(对照组)经阴道/直肠超声检查的声像图特点,并分析膀胱颈梗阻患者膀胱颈厚度与病程、残余尿量之间的关系。结果梗阻组超声显示膀胱颈有不同程度的局限性增厚,后唇增厚明显,多成"堤坝样"改变;对照组膀胱颈增厚不明显,表面较光滑,"堤坝样"改变不明显。梗阻组膀胱颈厚度≥8 mm 26例、5 mm≤膀胱颈厚度<8 mm 10例,对照组膀胱颈厚度≥8 mm 3例、5 mm<膀胱颈厚度<8 mm 12例、膀胱颈厚度≤5 mm 21例,两组膀胱颈厚度分布间差异有统计学意义(χ2=39.423,P<0.05)。梗阻组尿道上段前后径及横径分别为(15.2±0.7)、(15.8±0.9)mm,与对照组的(7.7±1.2)、(7.8±1.3)mm比较,差异均有统计学意义(t值分别为32.39和30.36,P<0.05)。梗阻组膀胱颈厚度与病程、残余尿量均呈正相关(r值分别为0.42和0.68,P<0.05)。结论经阴道/直肠超声检查能清晰显示膀胱颈厚度,是诊断女性膀胱颈梗阻简便可行的检查方法;膀胱颈厚度与病程、残余尿量有关。Objective To study the features and diagnostic value of ultrasonography for diagnosing female bladder neck obstruction （FBNO） by transvaginal ultrasound or transrectal ultrasound. Methods Clinical data and features of transvaginal ultrasonography or transrectal uhrasonography of 36 cases of FBNO admitted to Jiangsu Armed Police General Hospital from January 2011 to March 2013 and those of 36 cases of asymptomatic examiners at the same period （the control group） were analyzed retro- spectively. The relationship between bladder neck thickness and duration of disease, residual urine volume of FBNO was analyzed. Results In the FBNO group, ultrasound showed bladder neck have varying degrees of thickening, the posterior lip was obvious, into a dike - like change; The bladder neck had the smooth surface in the control group, the dike - like change was not obvious. In the FBNO group, there were 26 cases whose bladder neck thickness were more than 8 mm, 10 cases between 5 mm and 8 mm. In the control group there were 3 cases whose bladder neck thickness were more than 8 mm, 12 cases between 5 mm and 8 mm, and 21 cases less than 5 mm. There was statistically significant difference in bladder neck thickness between the two groups （ X2 = 39. 423, P 〈 0. 05 ） . The anteroposterior diameter and the transverse diameter of the FBNO group were （ 15.2 ±0. 7） mm, （ 15.8 ±0. 9） mm respectively. Compared with （ 7. 7 ± 1.2 ） mm and （7.8±1.3 ） mm of the control group, the difference was statistically significant （ t = 32. 39, 30.36, P 〈 0.05 ） . Thickness of the bladder neck of the FBNO group were positively correlated with duration of disease and residual urine volume （ r = 0. 42, 0. 68, P 〈 0. 05 ） . Conclusion Transvagi- nal uhrasonography or transrectal ultrasonography can clearly show bladder neck. It is considered as a reliable method for the diagnosis of FBNO. The bladder neck thickness is correlated with disease duration and residual urine volume.

关 键 词：膀胱颈梗阻 腔内超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学]