摘要
目的探讨女性盆底器官脱垂患者尿流动力学检查参数变化,分析其对膀胱功能的影响。方法回顾性分析2019年1月-2021年12月于本院盆底医学中心就诊的103例女性患者,其中盆底器官脱垂患者60例,无盆底器官脱垂患者43例。分析其尿流动力参数,包括患者初始尿意、初始急迫尿意、强烈尿意、最大尿流率、尿道阻力因子、膀胱梗阻指数、标准化的逼尿肌收缩力、逼尿肌收缩力等级、膀胱顺应值等指标,评价盆底器官脱垂对膀胱功能的影响。结果盆底器官脱垂组与对照组患者年龄、压力性尿失禁发生率、标准化的逼尿肌收缩力、逼尿肌收缩力等级以及膀胱顺应值相比差异有统计学意义(P<0.05)。结论高龄女性发生盆底器官脱垂风险增高,同时盆底器官脱垂患者发生尿失禁的可能性升高,盆底器官脱垂对逼尿肌收缩力及膀胱顺应性有一定的影响。
Objective To investigate the changes of urodynamic parameters in female patients with pelvic organ prolapse,and to analyze its effects on bladder function.Methods A retrospective analysis was performed on 103 female patients admitted to the Pelvic Floor Medical Center of our hospital from Jan.2019 to Dec.2021,including 60 patients with pelvic organ prolapse and 43 patients without.Analyzed the urodynamic parameters,including initial urination sensation,initial urgent urination sensation,strong urination sensation,maximum flow rate,urethral resistance factor,obstruction of bladder index,standardized detrusor contractility,detrusor contractility grade and bladder compliance value,and then evaluate the effect of pelvic organ prolapse on bladder function.Results There was statistical significance in the differences of age,incidence of stress urinary incontinence,standardized detrusor contractility,detrusor contractility grade and bladder compliance between the pelvic organ prolapse group and the control group(P<0.05).Conclusions The risk of pelvic organ prolapse is increased in elderly women,and the possibility of urinary incontinence in patients with pelvic floor organ prolapse is increased.Pelvic organ prolapse has a certain impact on detrusor contractility and bladder compliance.
作者
高泽寿
黄锦华
GAO Zeshou;HUANG Jinhua(Department of Urology,The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,350004,China;Nursing Department,The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,350004,China)
出处
《云南医药》
CAS
2023年第1期20-23,共4页
Medicine and Pharmacy of Yunnan
基金
福建省卫生厅厅级课题(JDZX201921)。
关键词
盆底器官脱垂
尿动力
膀胱功能
pelvic organ prolapse
urodynamics
bladder function
