Visualized Urethral Mobility Profile During Urine Leakage in Supine and Standing Positions.
Visualized Urethral Mobility Profile During Urine Leakage in Supine and Standing Positions.
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仰卧位和站立位尿液渗漏期间的可视化尿道活动度曲线。
DOI：
10.1055/a-1700-2862
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发表时间：
2023-06
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影响因子：
--
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目的应用可视化尿道运动剖面图（UMP）描述漏尿时尿道的走行和位置，并探讨仰卧位和站立位的差异。 方法对100例SUI患者和100例对照组患者进行了仰卧位和站立位经会阴超声（TPUS）咳嗽负荷试验（CST）。在正中矢状面，UMP软件自动放置从膀胱颈（点1）到尿道外口（点6）的六个等距点。它确定了这些点相对于耻骨联合的x和y坐标。测量各穴位与耻骨联合的距离。1至6）使用公式SQRT（x2 + y2）计算。通过在位图上再现六个点来创建可视化的UMP。 结果对78例正常对照组和90例SUI患者的UMP资料进行分析。在两个位置中，SUI组的距离1至6显著大于大陆组（所有p < 0.05）。在Valsalva期间，尿道中段之间的距离（dist. 3和4），并且在SUI组中联合显著增加（所有p < 0.001）。可视化UMP显示两组的上尿道路径相似。SUI组中尿道中段（3和4点）与耻骨联合之间的差距更宽。 结论仰卧位和站立位UMP显示失禁和非失禁妇女的膀胱颈和上尿道稳定性无差异，但SUI的中尿道稳定性较弱。
Objectives To describe the urethral course and position during urine leakage based on the visualized urethral mobility profile (UMP) and to explore the differences between supine and standing positions. Method This was a prospective study of 100 women with SUI and 100 control women who underwent a cough stress test (CST) with transperineal ultrasound (TPUS) in supine and standing positions. In the mid-sagittal plane, the UMP software automatically placed six equidistant points from the bladder neck (point 1) to the external urethral meatus (point 6). It determined the x and y coordinates of the points relative to the symphysis pubis. The distance between the points and symphysis pubis (dist. 1 to 6) was calculated using the formula SQRT (x2 + y2). The visualized UMP was created by reproducing the six points on a bitmap. Results Valid UMP data of 78 control women and 90 women with SUI were analyzed. In the two positions, distances 1 to 6 were significantly greater in the SUI group than the continent group (all p < 0.05). During Valsalva, the distance between the mid-urethra (dist. 3 and 4) and the symphysis was significantly increased (all p < 0.001) in the SUI group. The visualized UMP showed a similar upper-urethral course in the two groups. The gap between the mid-urethra (points 3 and 4) and symphysis was wider in the SUI group. Conclusion The visualized UMP in supine and standing positions showed no difference in the bladder neck and upper urethral stability between incontinent and continent women, but mid-urethral stability was weaker in SUI.
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