女性膀胱出口梗阻的超声影像尿动力学检查特点分析  

Analysis of sonography videourodynamic studies in characteristics of patients with female bladder outlet obstruction

作　　者：唐蓉玉 肖宁 赵划晟 陈莲花 唐琦 林玮键 王建峰 Tang Rongyu;Xiao Ning;Zhao Huasheng;Chen Lianhua;Tang Qi;Lin Weijian;Wang Jianfeng(Continence Research Clinic,Shaoyang Central Hospitial,Affiliated Shaoyang Hospital of University of South China,Shaoyang 422000,China;Department of Urology,the Second Affiliated Hospital of Guilin Medical University,Guilin 541199,China;University of South China,Shaoyang 422000,China)

机构地区：[1]南华大学附属邵阳医院,邵阳市中心医院尿控学研究室,湖南邵阳422000 [2]桂林医学院第二附属医院泌尿外科,桂林541199 [3]南华大学,湖南邵阳422000

出　　处：《中华泌尿外科杂志》2021年第5期385-387,共3页Chinese Journal of Urology

基　　金：2017年湖南省临床医疗技术创新引导项目(2017SK51404);2020年广西科技基地和人才专项(桂科AD20159008)。

摘　　要：本研究通过超声影像尿动力学检查(SVUDS),观察患者充盈期及排尿期尿道和周围盆底结构的改变,诊断26例女性膀胱出口梗阻(FBOO)。其中13例盆腔器官脱垂,排尿期可见尿道成角畸形;5例失调性排尿,排尿期中段尿道开放不佳;4例尿道狭窄,排尿期梗阻近端扩张,梗阻部位无松弛表现;1例原发性膀胱颈梗阻,排尿期膀胱颈开放不完全;3例特发性膀胱出口梗阻,排尿期膀胱颈及尿道外括约肌开放良好。SVUDS有助于明确FBOO的病因,提高诊断效果。In this study,sonography video urodynamic studies(SVUDS),which combined synchronically urodynamic studies with trans-perineal and trans-abdominal sonography,were used to detect female bladder outlet obstruction(FBOO).The dynamic changes of urethra and surrounding pelvic floor structure during storage and voiding phase were observed by SVUDS and the causes of FBOO were analyzed.And the findings were as follows:13 patients showed organ prolapse,there was an urethral angulation deformity during urination;5 cases had abnormal urination as the urethral opening was not good in the middle of urination period;4 cases had urethral stricture,as the proximal end of the obstruction dilated during urination,and the obstruction site showed no relaxation;1 case had primary bladder neck obstruction with an incomplete opening of the bladder neck during urination;3 cases had idiopathic bladder outlet obstruction and the sphincter of bladder neck and urethra opened well during urination.

关 键 词：尿道梗阻 膀胱 影像尿动力学 女性 超声 

分 类 号：R694[医药卫生—泌尿科学]