摘要
目的探讨女性膀胱膨出的盆底超声表现。方法使用盆底超声检查72例女性膀胱膨出患者,观察最大Valsalva动作后膀胱颈的移动度、膀胱后角、尿道旋转角度及尿道内口漏斗的形成,总结膀胱膨出的盆底超声表现。结果 72例膀胱膨出患者,其中67例在Valsalva动作后膀胱颈低于耻骨联合后下缘水平线,膀胱颈的活动度平均为(40.0±11.0)mm,64例膀胱后角开放,60例尿道旋转角度>45°,51例尿道内口漏斗形成。72例膀胱膨出患者中I型膀胱膨出12例,II型膀胱膨出52例,III型膀胱膨出8例。72例膀胱膨出患者膀胱最低点均低于经耻骨联合后下缘水平线,Valsalva动作后I型和II型膀胱膨出患者膀胱后角开放而III型膀胱后角完整,I型膀胱膨出尿道旋转角<45°而II、III型>45°。II型膀胱膨出患者尿道内口漏斗形成高于I型和III型(47/52 vs 4/20)。结论经盆底超声可用于女性膀胱膨出患者的的诊断及分型,对临床诊断具有参考价值。
Objective To review the imaging features of pelvic floor ultrasound in felnale cystocele. Pelvic floor ultrasound was performed in 72 female patients with cystocele. The bladder neck position and mobility, retrovesical angle, the urethral rotation angel and internal urethral meatus funneling were assessed at maximum Valsalva. Results On maximal Valsalva, the bladder neck was lower than inferoposterior margin of the symphysis pubis in 67 patients. The average decentment of bladder neck mobility was （40.0±11.0） mm. The open retrovesical angles were discovered in 64 patients. 60 patients with more than 45 degree in urethral rotation angel were established. The funneling was shown in 51 patients. There were three types ofcystocele （12 patients with type I, 52 patients with type II and 8 with type HI）. All types showed that the bladder was lower than inferoposterior margin of the syrnphysis pubis. The retrovesical angel was open in type I and II but intact in type Ⅲ. The urethral rotation angel was less than 45 degree in type I and more than 45 in type Ⅱ. The funneling was more common in type Ⅱ than other two types （47/52 vs 4/20）. Conclusion The pelvic floor ultrasound can be used for classification of cystocele in female patients and which may provide more reliable information for clinical diagnosis.
出处
《中华腔镜泌尿外科杂志（电子版）》
2016年第4期50-52,共3页
Chinese Journal of Endourology(Electronic Edition)
基金
2015广东省医学科学技术研究基金项目(A2015284)
