Abstract：Objective: To investigate the correlation of stress urinary incontinence(SUI) and cystocele type by transperineal ultrasound. Methods: A retrospective study evaluated 83 women with the diagnosis of cystocele with SUI(group SUI) and 78 women with the diagnosis of cystocele without SUI(group cystocele) that were confirmed by clinical and urodynamic study. The bladder neck, bladder back wall lowest point, the posterior urethrovesical angle(PUA), the urethra inclination angle were observed by transperineal ultrasound at rest and Valsalva, and the bladder neck decent, bladder back wall lowest point decent and urethral rotation angle were calculated. Eighty-one normal women were enrolled as the control group. Results: Seventy-three patients were diagnosed cystourethrocele and 10 were diagnosed isolated cystocele in group SUI, and 37 were diagnosed cystourethrocele and 41 were diagnosed isolated cystocele in group cystocele by transperineal ultrasound. The difference between group SUI and group cystocele in cystocele type was statistically significant(P＜0.05). No matter in group SUI or group cystocele, the bladder neck descent was no difference in cystourethrocele and isolated cystocele in each group(P＞0.05), but bladder back wall lowest point, PUA and urethral rotation angle were statistically significant in each group(P＜0.05). All the parameters were statistically significant after Valsalva when group SUI, group cystocele compared with control group(P＜0.05). Conclusion: Cystocele type can be diagnosed by transperineal ultrasound. Different cystocele type had different pelvic floor anatomy, and cystourethrocele was closely related to SUI.
卜 岚，聂 芳，杨 丹，车 岩，高 峻. 超声评估膀胱脱垂分型与女性压力性尿失禁的相关性研究[J]. 中国临床医学影像杂志, 2017, 28(11): 814-816.
BU Lan, NIE Fang, YANG Dan, CHE Yan, GAO Jun. Correlation between stress urinary incontinence and cystocele type by transperineal ultrasound. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(11): 814-816.
