国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2012年
5期
598-600
,共3页
章振保%杨恩明%王武%熊润青%安黎明%李超%杨水法%王继前%潘东山%林晓翰
章振保%楊恩明%王武%熊潤青%安黎明%李超%楊水法%王繼前%潘東山%林曉翰
장진보%양은명%왕무%웅윤청%안려명%리초%양수법%왕계전%반동산%림효한
尿失禁,压力性%尿动力学
尿失禁,壓力性%尿動力學
뇨실금,압력성%뇨동역학
Sonographic urodynamics%Stress urinary incontinence%TVT-O
目的 探讨超声尿动力学检查对女性压力性尿失禁(SUI)的诊断价值及其对经闭孔阴道无张力吊带术(TVT-O)手术的指导价值.方法 对41例SUI患者行超声尿动力学检查,重点了解膀胱尿道连接部活动度( UVJ-M)及腹压漏尿点压力(ALPP),并据此对SUI进行分型,再结合尿失禁临床分度以决定行TVT-O手术.结果 A型,UVJ-M≤l.5cm,ALPP ＞55cmH2O,7例;B型,UVJ-M＞1.5cm,ALPP＞55 cmH2O,11例;C型,UVJ-M≤1.5cm,ALPP≤55cmH2O,10例;D型,UVJ-M＞1.5cm,ALPP≤55cmH2O,13例;其中B型中的Ⅱ度、C型和D型患者共26例行TVT-O手术治疗.术后随访时间3～ 29个月,平均11个月.拔管后除2例重度咳嗽时有漏尿现象外,其余皆尿失禁消失,无一例复发.结论 超声尿动力学检查对SUI患者选择TVT-O手术有客观的针对性,具有重要的指导价值.
目的 探討超聲尿動力學檢查對女性壓力性尿失禁(SUI)的診斷價值及其對經閉孔陰道無張力弔帶術(TVT-O)手術的指導價值.方法 對41例SUI患者行超聲尿動力學檢查,重點瞭解膀胱尿道連接部活動度( UVJ-M)及腹壓漏尿點壓力(ALPP),併據此對SUI進行分型,再結閤尿失禁臨床分度以決定行TVT-O手術.結果 A型,UVJ-M≤l.5cm,ALPP ＞55cmH2O,7例;B型,UVJ-M＞1.5cm,ALPP＞55 cmH2O,11例;C型,UVJ-M≤1.5cm,ALPP≤55cmH2O,10例;D型,UVJ-M＞1.5cm,ALPP≤55cmH2O,13例;其中B型中的Ⅱ度、C型和D型患者共26例行TVT-O手術治療.術後隨訪時間3～ 29箇月,平均11箇月.拔管後除2例重度咳嗽時有漏尿現象外,其餘皆尿失禁消失,無一例複髮.結論 超聲尿動力學檢查對SUI患者選擇TVT-O手術有客觀的針對性,具有重要的指導價值.
목적 탐토초성뇨동역학검사대녀성압력성뇨실금(SUI)적진단개치급기대경폐공음도무장력조대술(TVT-O)수술적지도개치.방법 대41례SUI환자행초성뇨동역학검사,중점료해방광뇨도련접부활동도( UVJ-M)급복압루뇨점압력(ALPP),병거차대SUI진행분형,재결합뇨실금림상분도이결정행TVT-O수술.결과 A형,UVJ-M≤l.5cm,ALPP ＞55cmH2O,7례;B형,UVJ-M＞1.5cm,ALPP＞55 cmH2O,11례;C형,UVJ-M≤1.5cm,ALPP≤55cmH2O,10례;D형,UVJ-M＞1.5cm,ALPP≤55cmH2O,13례;기중B형중적Ⅱ도、C형화D형환자공26례행TVT-O수술치료.술후수방시간3～ 29개월,평균11개월.발관후제2례중도해수시유루뇨현상외,기여개뇨실금소실,무일례복발.결론 초성뇨동역학검사대SUI환자선택TVT-O수술유객관적침대성,구유중요적지도개치.
Objectives To evaluate the effects of sonographic urodynamics on diagnosis and TVT-O procedure for the treatment of stress urinary incontinence (SUI).Methods Sonographic urodynamics were performed in 41 cases of SUI.The parameters of Valsalva abdominal leak -point pressure (ALPP) and urethrovesical junction mobility ( UVJ-M) were measured with the standardized method.According to the two parameters,41 cases of SUI were performed classification and some of them were made TVT-O procedure.Results 7 cases were type A,UVJ-M ≤ 1.5cm with ALPP ＞ 55cmH2O.11 cases were type B,UVJ-M ＞ 1.5cm with ALPP ＞ 55cmH2O.10 cases were type C,UVJ-M≤1.5cm with ALPP≤55cmH2O.13 cases were type D,UVJ-M ＞ 1.5cm with ALPP≤55cmH2O.Of the 41 cases,26 underwent TVT-O operation.All of them were followed up for 3 ～ 29 months (mean,11 months).24 cases were cured and 2 were improved.Conclusions Sonographic urodynamis are important to the morphologic and functional diagnosis of SUI,and are indicative for choice of TVT-O procedure for SUI.
