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Relations of pregnancy and its relevant factors with primigravidae stress urinary incontinence
Author(s): 
Pages: 102-105
Year: Issue:  3
Journal: Acta Academiae Medicinae Shandong

Keyword:  PregnancyPerineal ultrosoundMobility of urethrovesical junctionStress urinary incontinence;
Abstract: 目的探讨妊娠相关因素与初孕妇压力性尿失禁(SUI)的关系,不同孕周尿道膀胱连接部移动度(UVJ-M)的变化以及SUI患者与无SUI者UVJ-M的变化。方法采用国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)对182例初孕妇,其中孕期SUI者78例与无SUI者104例,于孕6~10、24~28和36~40周及产后6~8周进行问卷调查,并行会阴部超声,分析妊娠相关因素与初孕妇SUI的关系以及UVJ-M的变化。结果①孕6~10、24~28、36~40周、产后6~8周SUI发病率分别为3.85%、13.19%、25.82%、2.20%。孕6~10与孕24~28周、孕24~28与孕36~40周、孕36~40与孕6~10周、孕24~28与产后6~8周、孕36~40与产后6~8周SUI发病率两两比较差异有统计学意义(P<0.05);②孕6~10、24~28、36~40周、产后6~8周UVJ-M分别为(3.26±1.62)、(4.67±1.47)、(6.65±1.12)、(2.64±0.97)mm。孕6~10与孕24~28周、孕24~28与孕36~40周及孕36~40与孕6~10周、孕24~28与产后6~8周、孕36~40与产后6~8周UVJ-M两两比较差异有统计学意义(P<0.05);③同一妊娠阶段SUI患者与无SUI者UVJ-M比较差异均有统计学意义(P<0.05)。结论SUI发病率随妊娠周数的增加而上升,且UVJ-M逐渐增大;同一妊娠阶段SUI者与无SUI者UVJ-M比较有明显增大。
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