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

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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.

Key words： Bladder diseases Prolapse Urinary incontinence, stress Ultrasonography, Doppler, color

Received: 09 February 2017

PACS:	Ｒ694.54
	Ｒ445.1

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	Articles by authors
	BU Lan
	NIE Fang
	YANG Dan
	CHE Yan
	GAO Jun

Cite this article:

BU Lan,NIE Fang,YANG Dan, et al. Correlation between stress urinary incontinence and cystocele type by transperineal ultrasound[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(11): 814-816.

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http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2017/V28/I11/814

[1]李华峰，陈华，折瑞莲，等. 经会阴超声诊断前盆腔脏器脱垂类型[J]. 中国医学影像技术，2014，30（3）：433-435. [2]Chantarasorn V, Dietz HP. Diagnosis of cystocele type by clinical examination and pelvic floor ultrasound[J]. Ultrasound Obstet Gynecol, 2012, 39(6): 710-714. [3]胡丽蓉，冉海涛，胡丽娜. 经会阴二维超声在女性压力性尿失禁中的临床应用[J]. 中国医学影像技术，2014，30（12）：1905-1908. [4]郭二芳，马琳，阚艳敏，等. 经会阴超声在女性压力性尿失禁中的应用价值[J]. 中国临床医学影像杂志，2015，26（3）：197-199. [5]Lamblin G, Delorme E, Cosson M, et al. Cystocele and functional anatomy of the pelvic floor: review and update of the various theories[J]. Int Urogynecol, 2016, 27(9): 1297-1305. [6]杨莉，钱胜利，李延，等. 经会阴四维超声在诊断女性膀胱膨出中的初步应用[J]. 中国临床医学影像杂志，2015，26（8）：585-588. [7]孙立倩，王宏桥，付青，等. 经会阴盆底超声在女性压力性尿失禁诊疗中的应用进展[J]. 中华医学超声杂志：电子版，2015，12（2）：99-102. [8]Al-Saadi WI. Transperineal ultrasonography in stress urinary incontinence: The significance of urethral rotation angles[J]. Arab J Urol, 2016, 14(1): 66-71. [9]Versi E, Cardozo LD, Studd JW, et al. Internal urinary sphincter in maintenance of female continence[J]. BMJ, 1986, 292(3): 166-167. [10]张洁，王忠民，马乐，等. 产后两侧肛提肌张力失衡致压力性尿失禁[J]. 中国实用妇科与产科杂志，2015，31（12）：1172-1173. [11]耿京，谢冰，马彧，等. 三维盆底超声评估盆腔脏器脱垂的初步研究[J]. 中国超声医学杂志，2014，30（8）：733-736. [12]González PL, López AL, Cubillana PL, et al. Does cystocele have a role in bladder outlet obstruction[J]. Actas Urol Esp, 2010, 34(2): 189-193. [13]Shek KL, Pirpiris A, Dietz HP. Does levator avulsion increase urethral mobility[J]. Eur J Obstet Gynecol Reproduct Biol, 2010, 153(2): 215-219. [14]Pirpiris A, Shek KL, Dietz KZ. Urethral mobility and urinary incontinence[J]. Ultrasound Obstet Gynecol, 2010, 36(4): 507-511.