Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound.
Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound.
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使用经会阴超声实时评估仰卧位和站立位的咳嗽应激测试 (CST) 中膀胱颈和近端尿道在漏尿期间的行为
DOI：
10.1007/s00192-020-04273-w
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发表时间：
2020-12
影响因子：
1.8
通讯作者：
Liu M
中科院分区：
文献类型：
--
作者：
Wen L;Zhao B;Chen W;Qing Z;Liu M
目的是描述使用经会阴超声（TPUS）在仰卧位和站立位进行咳嗽应激试验（CST）时尿液泄漏期间膀胱颈和近端尿道的行为。我们对102例压力性尿失禁（SUI）女性患者进行了前瞻性数据收集和回顾性数据分析，这些患者在仰卧位和/或站立位经TPUS检查CST阳性。在TPUS上，通过尿道长度、尿道漏斗、膀胱颈下降（BND）、膀胱后角（RVA）和尿道旋转角（URA）来描述膀胱颈和近端尿道的行为。评价两个位置的超声检查结果之间的差异。102名女性的平均年龄为48岁，平均BMI为23.8 kg/m2。在TPUS上，102名女性在仰卧位或站立位检测到漏尿，81名女性在两种位置都检测到漏尿。两种体位的URA和RVA差异有统计学意义。立位时RVA中位数为166°，显著大于仰卧位时的133°（p < 0.001），URA中位数为35°，显著小于仰卧位时的64°（p < 0.001）。两种位置的TPUS可用于检测CST中膀胱颈和尿道的实时行为。在站立位时，漏尿时膀胱颈和近端尿道旋转较少，伸直较多。本文的在线版本（10.1007/s 00192 -020-04273-w）包含补充材料，可供授权用户使用。
The objective was to describe the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound (TPUS). We carried out prospective data collection and a retrospective data analysis of 102 women with stress urinary incontinence (SUI) who had a positive CST with TPUS in the supine and/or standing position. On TPUS, the behaviour of the bladder neck and proximal urethra was described by the urethral length, urethral funnelling, bladder neck descent (BND), retrovesical angle (RVA) and urethral rotation angle (URA). Differences between the ultrasound findings in the two positions were evaluated. In the 102 women, the mean age was 48 years and mean BMI was 23.8 kg/m2. On TPUS, urine leakage was detected in the supine or standing position in 102 women and in both positions in 81. Between the two positions, significant differences were found in the URA and RVA. In the standing position, the median RVA of 166° was significantly larger than that of 133° in the supine position (p < 0.001), and the median URA of 35° was significantly smaller than that of 64° in the supine position (p < 0.001). TPUS in both positions can be used to detect the real-time behaviour of the bladder neck and urethra in the CST. In the standing position, less rotation and more straightening of the bladder neck and proximal urethra occurred during urine leakage. The online version of this article (10.1007/s00192-020-04273-w) contains supplementary material, which is available to authorized users.
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DOI：
10.1016/j.ejogrb.2015.07.012
发表时间：
2015-10-01
影响因子：
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发表时间：
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影响因子：
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