您的位置:山东大学 -> 科技期刊社 -> 《山东大学学报(医学版)》

山东大学学报(医学版) ›› 2010, Vol. 48 ›› Issue (3): 102-105.

• 论文 • 上一篇    下一篇

妊娠及其相关因素与初孕妇压力性尿失禁的关系

时培景1,2,刘培淑1,毛洪鸾1,陈福美3   

  1. 1. 山东大学齐鲁医院妇科, 济南 250012; 2. 济南市第三人民医院妇产科, 济南 250101;
    3. 济南市第三人民医院超声科, 济南 250101
  • 收稿日期:2009-11-22 出版日期:2010-03-16 发布日期:2010-03-16
  • 通讯作者: 刘培淑,女,教授,博士生导师,主要从事女性盆底功能障碍及妇科肿瘤等方面研究。
  • 作者简介:时培景(1979- ),女,硕士研究生,主要从事女性盆底功能障碍方面研究。

Relations of pregnancy and its relevant factors with primigravidae stress urinary incontinence

SHI Peijing1,2, LIU Peishu1, MAO Hongluan1, CHEN Fumei3   

  1. 1. Department of Gynecology, Qilu Hospital of Shandong University, Jinan 250012, China; 
    2. Department of Obstetrics and Gynecology, The Third People′s Hospital of Jinan, Jinan 250101, China;
    3. Department of Ultrasound, The Third People′s Hospital of Jinan, Jinan 250101, China
  • Received:2009-11-22 Online:2010-03-16 Published:2010-03-16

摘要:

目的  探讨妊娠相关因素与初孕妇压力性尿失禁(SUI)的关系,不同孕周尿道膀胱连接部移动度(UVJ-M)的变化以及SUI患者与无SUI者UVJ-M的变化。方法  采用国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)对182例初孕妇,其中孕期SUI者78例与无SUI者104例,于孕6~10、24~28和36~40周及产后6~8周进行问卷调查,并行会阴部超声,分析妊娠相关因素与初孕妇SUI的关系以及UVJM的变化。结果  ① 孕6~10、24~28、36~40周、产后6~8周SUI发病率分别为3.85%、13.19%、25.82%、2.20%。孕6~10与孕24~28周、孕24~28与孕36~40周、孕36~40与孕6~10周、孕24~28与产后6~8周、孕36~40与产后6~8周SUI发病率两两比较差异有统计学意义(P<0.05);② 孕6~10、 24~28、 36~40周、产后6~8周UVJ-M分别为(3.26±1.62)、(4.67±1.47)、(6.65±1.12)、(2.64±0.97)mm。孕6~10与孕24~28周、孕24~28与孕36~40周及孕36~40与孕6~10周、孕24~28与产后6~8周、孕36~40与产后6~8周UVJ-M两两比较差异有统计学意义(P<0.05);③ 同一妊娠阶段SUI患者与无SUI者UVJ-M比较差异均有统计学意义(P<0.05)。结论  SUI发病率随妊娠周数的增加而上升,且UVJ-M逐渐增大;同一妊娠阶段SUI者与无SUI者UVJ-M比较有明显增大。

关键词: 妊娠;会阴超声;尿道膀胱连接部移动度;压力性尿失禁

Abstract:

Objective  To study the effect of pregnancy relative factors on primigravida stress urinary incontinence(SUI), and the mobility of the urethrovesical junction (UVJ-M) at different periods of pregnancy. Methods  A questionnaire survey was conducted in 182 primigravida, including SUI patients(n=78) and non-SUI patients(n=104).  International Consultation on Incontinence Questionnaire Short Form (ICI-Q-SF) and the UVJ-M of the patients were measured by perineal sonographic at 6-10, 24-28, 36-40 gestational weeks and 6-8weeks after delivery. Results  ① The incidence of SUI at 6-10, 24-28, 36-40 gestational weeks and 6-8 weeks after delivery was 3.85%, 13.19%, 25.82% and 2.20%, respectively, and there were signficant differences among them(P<0.05). ② The UVJM at 6-10, 24-28, 36-40 gestational weeks and 6-8weeks after delivery was (3.26±1.62)mm, (4.67±1.47)mm,  (6.65±1.12)mm [JP2]and (2.64±0.97)mm, [JP]respectively, and there were significant differences among them(P<0.05).  ③ There[JP][JP2] were a significant differences in UVJ-M between SUI patients and non-SUI patients at the same period of pregnancy (P<0.05).  Conclusions  The incidence of SUI and UVJ-M is elevated with the increase of gestational weeks. The UVJ-M of SUI patients is increased at the same period of pregnancy compared with that of non-SUI
 patients.

Key words: Pregnancy; Perineal ultrosound; Mobility of urethrovesical junction; Stress urinary incontinence

中图分类号: 

  • R711
[1] 李霞,刘培淑,毛洪鸾,张小磊,郑靖芳. 山东部分社区盆底功能障碍性疾病的流行病学研究[J]. 山东大学学报(医学版), 2011, 49(5): 66-70.
[2] 魏德娥,仲文玉,魏树珍,马轶飞. β-Catenin、 E-cadherin和APC在卵巢上皮肿瘤中的表达[J]. 山东大学学报(医学版), 2011, 49(5): 71-74.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!