| 盆底障碍性疾病盆底自主收缩肌肉力量研究 |
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| 引用本文： | 海宁,朱兰,郎景和.盆底障碍性疾病盆底自主收缩肌肉力量研究[J].生殖医学杂志,2008,17(5):321-324. |
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| 作者姓名： | 海宁 朱兰 郎景和 |
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| 作者单位： | 中国医学科学院,北京协和医学院,北京协和医院妇产科,北京,100730 |
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| 摘 要： | 目的比较正常人和盆底障碍性疾病(PFD)患者的盆底肌肉功能。方法对2007年11月至2008年4月在本院就诊的压力性尿失禁(SUI)、盆腔器官脱垂(POP)、POP合并SUI患者以及健康对照组各10例,行阴道指诊、阴道挤压力检测盆底肌肉收缩力量进行评估。结果肛提肌肌肉指诊力量和阴道挤压力呈正相关(r=0.549,P<0.05)。对照组阴道指诊肌力等级为(4.1±0.8),阴道挤压压力为(38.4±21.1)mmH2O,15 s内可自主收缩肛提肌(6.0±1.2)次,收缩持续时间为(4.78±1.78)s。SUI组、POP组、SUI+POP组阴道指诊肌力等级分别为(2.6±0.7)(、3.2±1.2)和(3.0±1.4),均显著低于对照组(P<0.05);阴道内挤压压力分别为(20.2±11.1)、(13.8±10.3)、(20.0±10.4)mmH2O,均显著低于对照组(P<0.05)。SUI组15 s内可自主收缩肛提肌(3.6±1.0)次,显著少于对照组(P<0.05),收缩持续时间为(2.40±1.35)s,与对照组比较显著缩短(P<0.05)。结论肛提肌的阴道指诊的肌力测定,简单易行,可在临床广泛应用。PFD患者普遍存在肛提肌肉收缩力量减弱。SUI患者收缩速率慢、收缩持续时间短,不能对抗连续的腹压增高可能是SUI的发病机制。
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| 关 键 词： | 压力性尿失禁 盆底肌肉 自主收缩力量 盆腔脏器脱垂 |
Pelvic floor muscle function in normal women and the patients with pelvic floor dysfunction |
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| HAI Ning,ZHU Lan,LANG Jing-he.Pelvic floor muscle function in normal women and the patients with pelvic floor dysfunction[J].Journal of Reproductive Medicine,2008,17(5):321-324. |
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| Authors: | HAI Ning ZHU Lan LANG Jing-he |
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| Institution: | HAI Ning,ZHU Lan,LANG Jing-heDepartment of Obstetrics & Gynecology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing,100730 |
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| Abstract: | Objectives: To compare the pelvic floor muscle function between the women with pelvic floor dysfunction and normal controls Methods: Vaginal palpation and dynamometric measurements were used to assess the pelvic floor muscle strength of 10 women suffering from stress urinary incontinence(SUI),10 with uterus prolapse,10 with uterus prolapse complicating with stress urinary incontinence and 10 normal women.Results from the palpation test were compared with measurements of vaginal squeeze pressure using dynamo... |
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| Keywords: | Stress urinary incontinence Pelvic floor muscle Strength Pelvic organ prolapse |
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