《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (06): 523-524.

• 临床研究 • 上一篇    下一篇

成年女性绝经前后发生的压力性尿失禁尿动力学比较

罗广承1,2; 方强1; 李龙坤1; 金锡御1; 宋波1   

  1. 1.第三军医大学西南医院泌尿中心 重庆市 400038;2.厦门大学附属中山医院泌尿外科 福建厦门市 361004
  • 收稿日期:2006-01-12 出版日期:2006-06-25 发布日期:2006-06-25

Urodynamic Characteristics of Stress Urinary Incontinence Occurred in Premenopausal and Postmenopausal Adult Women

LUO Guang-cheng, FANG Qiang, LI Long-kun, et al   

  1. The Urinary Surgery Research Center, Southwest Hospital, the Third Military University, Chongqing 400038, China
  • Received:2006-01-12 Published:2006-06-25 Online:2006-06-25

PDF (PC)

被引次数

2

摘要： 目的探讨在绝经前后发生压力性尿失禁的成年女性患者的不同尿动力学特点。方法对140例经临床确诊的成年女性压力性尿失禁患者(未绝经组71例、绝经组69例)行充盈性膀胱压力测定(FCM)、腹压漏尿点压测定(ALPP)以及尿道压力图测定,比较绝经前后的尿动力学参数和特点。结果未绝经组和绝经组ALPP值分别为(80±28)cmH2O和(64±27)cmH2O(P<0.01);未绝经组有15例(21.2%)ALPP<60cmH2O,而绝经组为26例(37.7%)(P<0.05);未绝经组有21例ALPP>90cmH2O,绝经组为8例(P<0.05)。未绝经组的最大尿道压(MUP)、最大尿道关闭压(MUCP)、控制面积(CA)与绝经组相比有显著性差异(P<0.05);而两组间的功能尿道长度(FUL)、控制带长(CZL)无显著性差异(P>0.05)。未绝经组和绝经组分别有5例(7%)和19例(27.5%)合并不稳定膀胱,两者有非常显著性差异(P<0.01)。结论绝经前后发生的女性真性压力性尿失禁有不同的尿动力学特点,在发生机制上可能存在差异。

关键词: 压力性尿失禁, 尿动力学, 绝经

Abstract: ObjectiveTo investigate the difference of urodynamic characteristics of stress urinary incontinence (SUI) occurred between premenopausal and postmenopausal adult women.Methods140 adult female SUI patients (71 premenopausal cases and 69 postmenopausal cases) were examined with filling cystometry, abdominal leak point pressures (ALPP) and urethral pressure profile (UPP). The urodynamic parameters of each patient were analyzed and the results of two groups were compared.ResultsThe ALPP of premenopausal group was much higher than that of postmenopaudal group (80±28 cmH2O vs 64±27 cmH2O;P<0.01). The percentage of ALPP under 60 cmH2O in premenopausal group was much more than postmenopaudal group (21.2% vs 37.7%; P<0.05); the percentage of ALPP above 90 cmH2O were much less (29.6% vs 11.6%;P<0.05). While, maximum urethral pressure (MUP), maximum urethral closure pressure (MUCP) and continence area (CA) showed significant differences (P<0.05), neither functional urethral length (FUL) nor continence zone length (CZL) showed any statistic difference between the two groups. There were 5 cases combined with urodynamic overactive bladder in premenopausal group and 19 cases in postmenopaudal group. There was a significant difference between two groups (P<0.01).ConclusionSUI occurred in premenopausal and postmenopausal women has different urodynamic characteristics and pathogenesis.

Key words: stress urinary incontinence, urodynamics, menopause