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目的:了解盆底功能障碍性疾病(PFD)患者的排尿情况,并分析尿流动力学对子宫脱垂与尿失禁合并情况的诊断价值。方法:选取2010年5月至2012年12月因PFD在我院接受诊治的463例患者。对所有患者进行POP-Q评分,记录排尿情况,并进行尿动力学检查,完善排尿日记。回顾分析PFD患者的尿流动力学特点,以及子宫脱垂和尿失禁的关系。结果:463例PFD患者中272例POP-Q I~II级,191例POP-Q III~IV级。POP-Q I~II级患者中,84例有尿失禁症状,14例排尿困难,69例尿流动力学检查证实存在尿失禁;POP-Q III~IV级患者中,43例有尿失禁症状,106例排尿困难,95例尿流动力学检查证实存在尿失禁。结论:子宫脱垂患者容易合并排尿困难和尿失禁,这些排尿异常的现象可单独或合并出现,还可隐匿表现。尿动力学检查有助于分析患者排尿状况,但因检查误差,有假阴性的可能,还需借助排尿日记综合分析患者排尿情况。
Objective: To understand the urinary excretion in patients with pelvic floor dysfunction (PFD) and to analyze the diagnostic value of urodynamics in the merger of uterine prolapse and urinary incontinence. Methods: From May 2010 to December 2012, 463 patients undergoing PFD treatment in our hospital were selected. All patients were POP-Q score, record urination, and urodynamic examination, improve urination diary. Retrospective analysis of PFD patients with urodynamics, as well as the relationship between uterine prolapse and urinary incontinence. Results: Among the 463 PFD patients, 272 were POP-Q I-II and 191 were POP-Q III-IV. Out of the POP-Q class I to II patients, 84 had urinary incontinence symptoms, 14 had dysuria, and 69 had urinary incontinence confirmed by urodynamic tests. Out of POP-Q III-IV patients, 43 had urinary incontinence symptoms, 106 cases of dysuria, 95 cases of urodynamics confirmed urinary incontinence. Conclusions: Patients with uterine prolapse are more likely to have dysphagia and urinary incontinence. These abnormalities of urination may manifest themselves either alone or in combination. Urodynamic examination helps to analyze the patient’s urination, but because of the error, there is a false negative possibility, but also need to diarrhea diarrhea with a comprehensive analysis of patient urination.