CAJ | 학술논문

目的研究妊娠晚期尿失禁妇女的尿动力学表现.方法选择63例妊娠晚期志愿接受尿动力学检查的妇女,按产妇产前是否有尿失禁症状分为尿失禁组(17例)和无尿失禁组(46例),选择同期14例已婚未孕志愿者为正常对照组,分别进行自由尿流率、膀胱压力容积、压力流率测定及静态尿道压力描记检查.结果妊娠晚期尿失禁发生率为26.98%;仅2例孕妇在valsalva动作时漏尿,漏尿点压(VLPP)分别为50 cmH2O和67 cmH2O;妊娠晚期尿失禁妇女的最大尿道闭合压[(83.69±42.55)mmHg]及功能性尿道长度[(30.45±8.42)mm]低于无尿失禁组[(108.09±8.42)mmHg,(37.60±18.45)mm;P＜0.05].结论妊娠晚期尿失禁的发生与妊娠后增加的最大尿道闭合压未能弥补日益增加的膀胱压有关,与功能性尿道长度未随妊娠继续而增加有关.
목적 연구임신만기뇨실금부녀적뇨동역학표현.방법 선택63례임신만기지원접수뇨동역학검사적부녀,안산부산전시부유뇨실금증상분위뇨실금조(17례)화무뇨실금조(46례),선택동기14례이혼미잉지원자위정상대조조,분별진행자유뇨류솔、방광압력용적、압력류솔측정급정태뇨도압력묘기검사.결과 임신만기뇨실금발생솔위26.98%;부2례잉부재valsalva동작시루뇨,루뇨점압(VLPP)분별위50 cmH2O화67 cmH2O;임신만기뇨실금부녀적최대뇨도폐합압[(83.69±42.55)mmHg]급공능성뇨도장도[(30.45±8.42)mm]저우무뇨실금조[(108.09±8.42)mmHg,(37.60±18.45)mm;P＜0.05].결론 임신만기뇨실금적발생여임신후증가적최대뇨도폐합압미능미보일익증가적방광압유관,여공능성뇨도장도미수임신계속이증가유관.
Objective To investigate the urodynamic measurements in later pregnant women with urinary incontinence. Methods According to the symptoms, a total of 63 volunteers in later pregnancy were divided into two groups including urinary incontinence group and no symptom group. Fourteen women who were married but not delivered were included in control group. Urodynamic study was performed on all women. Results The occurrence rate of urinary incontinence in later pregnancy was 26.98%. The valsalva leak point pressure only occurred on two pregnant women were 50 cmH2O and 67 cmH2O respectively. Compared with the no symptom group, the maximum urethral closure pressure[(83.69±42.55)mmHg vs(108.09±34.95)mmHg, P＜0.05])and the functional urethral length [(30.45±8.42)mm vs (37.60±18.45)mm ,P＜0.05]of urinary incontinence group were decreased obviously. Conclusions The main reason of urinary incontinence in pregnancy was that the maximum urethral closure pressure could not sufficiently increase to compensate for the progressive increase in bladder pressure during pregnancy and functional urethral length could not correspondingly increase along with the pregnancy.