多普勒超声测定膀胱血管阻力指数在女性原发性膀胱过度活动症患者中的应用  

The application of Doppler ultrasoundin the determination of bladder vascular resistance index in female patients with primary hyperactivity of bladder

作　　者：吕云 古泳梅 张森青 李法王 LYU Yun;GU Yongmei;ZHANG Senqing;LI Fawang(B-Ultrasound Room,The People's Hospital of Longhua,Shemhen 518000,Guangdong,China;Department of Gynaecology,The People's Hospital of Longhua,Shenzhen 518000,Guangdong,China;Department of General Practice,The People’s Hospital of Longhua,Shenzhen 518000,Guangdong,China)

机构地区：[1]深圳市龙华区人民医院B超室,广东深圳518000 [2]深圳市龙华区人民医院妇科,广东深圳518000 [3]深圳市龙华区人民医院全科医学科,广东深圳518000

出　　处：《中国性科学》2019年第9期110-113,共4页Chinese Journal of Human Sexuality

摘　　要：目的探讨和分析多普勒超声测定膀胱血管阻力指数在女性原发性膀胱过度活动症患者中的临床应用价值。方法选取2015年7月至2017年1月深圳市龙华区人民医院诊治的50例女性原发性膀胱过度活动症患者和同期来院进行健康检查的50例健康女性作为研究对象。前者设为实验组,后者设为对照组。两组成员均接受彩色多普勒超声检查,测量膀胱血管阻力指数(RI),比较RI在两组成员中的差异。结果实验组原发性膀胱过度活动症患者膀胱RI平均值为(0.83±0.07),对照组健康女性的RI平均值为(0.65±0.06),实验组患者膀胱RI值显著高于对照组成员,其差异具有统计学意义(t=0.026,P<0.05)。实验组患者接受治疗后,膀胱RI指数由治疗前的(0.83±0.07)降至(0.64±0.05),其差异具有统计学意义(t=5.089,P<0.05)。结论女性原发性膀胱过度活动症患者膀胱血流显著减少,膀胱RI值升高,提示膀胱血流减少与原发性膀胱过度活动症的发病相关,膀胱RI值可以作为诊断膀胱过度活动症的参考指标,值得临床推广应用。Objective To explore and analyze the clinical value of the application of Doppler ultrasound in the determination of bladder vascular resistance index in female patients with primary hyperactivity of bladder. Methods 50 female patients with primary hyperactivity of bladder treated in the People′s Hospital of Longhua from July 2015 to January 2017 were selected as the experimental group. 50 healthy women who went through physical examination in the same hospital during the same period were selected as the control group. Both groups received color Doppler ultrasonography examination to measure the bladder vascular resistance index(RI), and the difference of RI was compared between the two groups. Results The average RI of bladder in patients with primary hyperactivity of bladder in the experimental group was(0.83±0.07) and that of healthy women in the control group was(0.65±0.06). The RI of the experimental group was significantly higher than that of the control group, and the difference was statistically significant(t=0.026, P<0.05). After the treatment, the RI of bladder in the experimental group decreased from(0.83±0.07) to(0.64±0.05), and the difference was statistically significant(t=5.089, P<0.05). Conclusions The decrease of bladder blood flow and the increase of RI value in female patients with primary hyperactivity of bladder suggest that the decrease of bladder blood flow is related to the pathogenesis of primary hyperactivity of bladder. The RI value of bladder can be used as a reference index for the diagnosis of hyperactivity of bladder and is worthy of clinical application.

关 键 词：多普勒超声 原发性膀胱过度活动症 膀胱血管阻力指数 女性患者 

分 类 号：R711[医药卫生—妇产科学]