| 摘要: |
| ［摘要］ 目的 研究柳州地区成年女性盆腔脏器脱垂（POP）与压力性尿失禁（SUI）之间的关系。方法 采取整群抽样的方法选择在柳州市和下辖7个县的妇幼保健院就诊或住院的1 807例20周岁以上女性为研究对象，对其进行问卷调查以及妇科检查（POP-Q分期法），分析POP与SUI之间的关系。结果 1 807人中阴道前壁膨出者为1 424人，子宫脱垂者为1 144人，阴道后壁膨出者281人，POP患者中SUI患病率为51.3%，其中SUI在阴道前壁膨出、子宫脱垂和阴道后壁膨出的患者中患病率分别为18.2%、18.5%和22.1%。SUI患病率在四种阴道前壁膨出程度间差异有统计学意义（P<0.01），且患病率随阴道前壁膨出程度增加而升高（P<0.01）。不同子宫脱垂程度间SUI患病率差异有统计学意义（P<0.01），且患病率随子宫脱垂程度增加而升高（P<0.01）。但各组阴道后壁膨出间SUI患病率差异无统计学意义（P>0.05）。结论 阴道后壁膨出、阴道前壁膨出和子宫脱垂的病情越严重，并发SUI的危险性越大。 |
| 关键词: 盆腔脏器脱垂 压力性尿失禁 关系 |
| DOI：10.3969/j.issn.1674-3806.2017.09.06 |
| 分类号:R 695.1 |
| 基金项目:广西卫计委科研课题（编号：Z2015183） |
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| Relationship between female pelvic organ prolapse and stress urinary incontinence in Liuzhou area |
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YING Ting, WANG Xin-dan, TAO Hua
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Department of Gynaecology, Liuzhou Maternal and Child Health Care Hospital of Guangxi Zhuang Autonomous Region, Guangxi 545001, China
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| Abstract: |
| ［Abstract］ Objective To investigate the relationship between female pelvic organ prolapse and stress urinary incontinence.Methods The eligible participants were randomly selected from the Maternal and Child Health care Hospitals in Liuzhou region by cluster sampling. They were surveyed by questionnaire and thereafter received gynecological examination(POP-Q). The relationship between pelvic organ prolapse and stress urinary incontinence was statistically analyzed.Results The prevalence of stress urinary incontinence among the patients with pelvic organ prolapse was 51.3%. The prevalence of stress urinary incontinence was 22.1% in the patients with anterior vaginal wall prolapse, 18.5% in those with uterine prolapse and 18.2% in those with posterior vaginal wall prolapse. There were significant differences in the incidences of stress urinary incontinence among varying degrees of uterine prolapse（χ2=147.700, P<0.01）.With the increasing degrees of uterine prolapse, the incidences of stress urinary incontinence increased（χ2=114.222, P<0.01）. However, there were no significant differences in the incidences of stress urinary incontinence among varying degrees of posterior vaginal prolapse.Conclusion Except for the posterior vaginal wall prolapse, the more serious conditions, the higher is the incidence of complicated stress urinary incontinence. |
| Key words: Pelvic organ prolapse Stress urinary incontinence Relationship |
