妊娠及其相关因素与初孕妇压力性尿失禁的关系

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

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. 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. 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/Abstract

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

时培景1，2，刘培淑1，毛洪鸾1，陈福美3. 妊娠及其相关因素与初孕妇压力性尿失禁的关系[J]. 山东大学学报(医学版), 2010, 48(3): 102-105.

SHI Peijing1,2, LIU Peishu1, MAO Hongluan1, CHEN Fumei3. Relations of pregnancy and its relevant factors with primigravidae stress urinary incontinence[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(3): 102-105.

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