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盆底功能障碍性疾病患者会阴神经潜伏期测定在隐匿性压力性尿失禁诊断中的意义 被引量：6

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摘要 盆底功能障碍性疾病（pelvic floor dysfunction，PFD），包括压力性尿失禁（stress urinary incontinence，SUI）和盆腔器官脱垂（pelvic organ prolapse，POP），是妇产科的常见病，严重影响患者的健康和生活质量，给患者身心造成很大的痛苦。目前其发病机制还未明确。会阴神经由阴部神经发出，支配包括尿道外括约肌在内的尿生殖隔区肌肉，而尿道外括约肌是尿道尿液控制最重要的力量，因此，对会阴神经功能的研究至关重要。运动神经传导检测是指给予刺激使神经纤维去极化，然后记录所诱发肌肉的反应，通过分析诱发反应各参数来评估神经功能，常用的参数是运动神经潜伏期。
作者 海宁 朱兰 郎景和
机构地区 中国医学科学院北京协和医院妇产科
出处 《中华妇产科杂志》 CAS CSCD 北大核心 2009年第2期145-147,共3页 Chinese Journal of Obstetrics and Gynecology
关键词 盆底功能障碍性疾病 压力性尿失禁 阴部神经 潜伏期 会阴 隐匿性 尿道外括约肌 诊断
分类号 R686 [医药卫生—骨科学]
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参考文献9

  • 1Abrams P, Blaivas JG, Stanton SL, et al. The standardization of terminology of lower urinary tract function recommended by the international continence society. Int Urogynecol J, 1990, 1:453- 465.
  • 2Bump RC, Mattiasson A, BФ K, et al, The standardization of terminology of female pelvic floor organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol, 1996,175 : 10 -17.
  • 3Chancellor MB, Perkin H, Yoshimura N. Recent advances in the neurophysiology of stress urinary incontinence. Scand J Urol Nephrol,2005 ,39 :21-24.
  • 4Guaderrama NM, Liu J, Nager CW, et al. Evidence for the innervation of pelvic floor muscles by the pudendal nerve. Obstet Gynecol,2005,106 : 774 -781.
  • 5Peng CW, Chen JJ, Chang HY, et al. External urethral sphincter activity in a rat model of pudendal nerve injury, Neurourol Urodyn ,2006,25:388-396.
  • 6Heidkamp MC, Leong FC, Brubaker L, et al. Pudendal denervation affects the structure and function of the striated, urethral sphincter in female rats. Int Urogynecol J Pelvic Floor Dysfunct, 1998,9 : 88-93.
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同被引文献87

  • 1王建六.女性盆底功能障碍性疾病研究进展[J].中国医刊,2005,40(8):10-11. 被引量：21
  • 2朱兰,郎景和,王宏,韩少梅,刘春燕.北京地区成年女性尿失禁的流行病学研究[J].中华医学杂志,2006,86(11):728-731. 被引量：187
  • 3Viktrup L, Lose G, Rolff M, et al. The symptom of stress incontinence caused by pregnancy or delivery in primiparas. Obstet Gynecol, 1992,79:945-949.
  • 4Parazzini F, Chiaffarino F, Lavezzari M, et al. Risk factors for stress, urge or mixed urinary incontinence in Italy. B JOG, 2003, 110:927-933.
  • 5Hannestad YS, Rortveit G, Sandvik H, et al. A community-based epidemiological survey of female urinary incontinence : the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. J Clin Epidemiol, 2000,53 : 1150-1157.
  • 6Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynecol Obstet,2003,82: 327-338.
  • 7Han MO, Lee NY, Park HS. Abdominal obesity is associated with stress urinary incontinence in Korean women. Int Urogynecol J Pelvic Floor Dysfunct, 2006,17:35-39.
  • 8Janssen I, Katzmarzyk PT, Ross R. Waist circumference and not body mass index explains obesity-related health risk. Am J Clin Nutr, 2004, 79:379-384.
  • 9Samuelsson E, Victor A, Tibblin G. A population study of urinary incontinence and nocturia among women aged 20-59 years.Prevalence, well-being and wish for treatment. Acta Obstet Gynceol Scand, 1997,76:74-80.
  • 10Petros PEP. The female pelvic floor. Berlin Heidelberg:Springer- Verlng ,2004 : 1-13.

引证文献6

二级引证文献122

中华妇产科杂志
2009年 第2期

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