《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (11): 894-895.

• 专题 • 上一篇    下一篇

女性真性压力性尿失禁尿动力学参数与经阴道分娩次数的相关性研究

罗广承; 方强; 李龙坤; 金锡御; 宋波   

  1. 第三军医大学西南医院泌尿中心 重庆市 400038
  • 收稿日期:2005-10-14 出版日期:2005-11-25 发布日期:2005-11-25

Correlation between urodynamic parameters and vaginal deliveries in women with genuine stress urinary incontinence

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

  1. Urinary Surgery Research Center, Southwest Hospital, the Third Military University,Chongqing 400038, China
  • Received:2005-10-14 Published:2005-11-25 Online:2005-11-25

摘要: 目的探讨女性真性压力性尿失禁尿动力学参数与经阴道分娩次数的相关性。方法对56例经阴道分娩生育的的真性压力性尿失禁患者行尿动力学检查,记录腹压漏尿点压测定(ALPP)和最大尿道关闭压(MUCP)、功能尿道长度(FUL)。分别对经阴道分娩次数与各个尿动力学参数进行直线相关分析。结果经阴道分娩次数与ALPP呈负相关(r=-0.349,P<0.05),与MUCP和FUL没有相关关系(r=-0.219,r=-0.178,均P>0.05)。结论经阴道分娩在压力性尿失禁发病中有一定意义,分娩次数越多,尿失禁越严重。

关键词: 女性压力性尿失禁, 尿动力学, 经阴道分娩

Abstract: ObjectiveTo identify the relationship between urodynamic parameters and vaginal deliveries in women with genuine stress urinary incontinence(GSI).Methods56 women with vaginal delivery history who were diagnosed as stress urinary incontinence underwent urodynamic tests.Their abdominal leak point pressures(ALPP),maximum urethral closure pressure(MUCP) and functional urethral length(FUL) were recorded,and their Correlation to vaginal deliveries was tested using linear correlation coefficient.ResultsCorrelation between vaginal deliveries and ALPP showed a significant relationship(r=-0.349,P<0.05).Neither MUCP nor FUL showed a close relationship with vaginal deliveries(r=-0.219 and r=-0.178 respectively,P>0.05).ConclusionVaginal delivery plays an important role in the pathogenesis of GSI.The more vaginal deliveries,the more serious GSI.

Key words: female stress urinary incontinence, urodynamics, vaginal delivery