女性盆底损伤相关膀胱尿道功能障碍研究进展
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摘要
女性由于骨盆、盆腔器官及腰骶椎组织病变、畸形、肿瘤、外伤、手术或怀孕、难产等原因,导致盆底功能损伤诱发排尿功能障碍,称为女性盆底损伤相关膀胱尿道功能障碍。膀胱尿道功能障碍的早期诊断和针对性治疗,是预防上尿路损害、获得良好疗效的关键,而神经系统和尿动力学监测是准确诊断和合理治疗的前提。
Female pelvic floor dysfunction is caused by pelvic floor dysfunction due to pelvic,pelvic organs and lumbosacral tissue lessions,deformities,tumors,trauma,surgery,pregnancy and dystocia. It is called bladder-urethral dysfunction associated with pelvic floor injury. Early diagnosis and targeted treatment of bladder-urethral dysfunction are the key to prevent upper urinary tract damage and obtain good curative effect. Nervous system and urodynamic monitoring are prerequisites for accurate diagnosis and reasonable treatment.
Female pelvic floor dysfunction is caused by pelvic floor dysfunction due to pelvic,pelvic organs and lumbosacral tissue lessions,deformities,tumors,trauma,surgery,pregnancy and dystocia. It is called bladder-urethral dysfunction associated with pelvic floor injury. Early diagnosis and targeted treatment of bladder-urethral dysfunction are the key to prevent upper urinary tract damage and obtain good curative effect. Nervous system and urodynamic monitoring are prerequisites for accurate diagnosis and reasonable treatment.
引文
[1]刘国庆.女性盆底功能障碍相关下尿路疾病研究进展[J].中国医师杂志,2017,19(3):321-325. DOI:10. 3760/cma. j.issn. 1008-1372. 2017. 03. 001.
[2] Laterza RM,Sievert KD,de Ridder D,et al. Bladder function after radical hysterectomy for cervical cancer[J]. Neurourol Urodyn,2015,34(4):309-315. DOI:10. 1002/nau. 22570.
[3]居杏珠,李子庭,杨慧娟,等.子宫颈癌保留神经广泛性子宫切除术与传统广泛性子宫切除术的比较性研究[J].中华妇产科杂志,2009,44(8):605-609. DOI:10. 3760/cma. j. issn.0529-567x. 2009. 08. 012.
[4] Wada N,Shimizu T,Takai S,et al. Post-injury bladder management strategy influences lower urinary tract dysfunction in the mouse model of spinal cord injury[J]. Neurourol Urodyn,2017,36(5):1301-1305. DOI:10. 1002/nau. 23120.
[5]李杰荣,刘国庆,张世林. A型肉毒毒素盆底痛点定位注射在女性盆底肌筋膜疼痛治疗中的意义[J].临床泌尿外科杂志,2018,33(12):950-953.
[6] Aoun F,van Velthoven R. Lower urinary tract dysfunction after nerve-sparing radical hysterectomy[J]. Int Urogynecol J,2015,26(7):947-957. DOI:10. 1007/s00192-014-2574-8.
[7] Panteleimonitis S,Ahmed J,Harper M,et al. Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery[J]. World J Gastrointest Surg,2016,8(11):744-754. DOI:10. 4240/wjgs. v8. i11. 744.
[8] Wein AJ. Re:Long-Term Effectiveness and Complication Rates of Bladder Augmentation in Patients with Neurogenic Bladder Dysfunction:A Systematic Review[J]. J Urol,2019,201(1):38-39. DOI:10. 1097/01. ju. 0000550215. 07396. 8e.
[9]李杰荣,刘国庆,唐华建,等.女性膀胱过度活动症患者临床病理学研究[J].中国当代医药,2010,17(22):107-108. DOI:10. 3969/j. issn. 1674-4721. 2010. 22. 063.
[10] Kanao H,Fujiwara K,Ebisawa K,et al. Various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function[J]. J Gynecol Oncol,2014,25(3):198-205. DOI:10. 3802/jgo. 2014. 25. 3. 198.
[11]刘国庆,李杰荣,张世林,等.女性慢性盆腔疼痛与盆底解剖相关性研究[J].中国医师杂志,2017,19(3):345-348. DOI:10. 3760/cma. j. issn. 1008-1372. 2017. 03. 007.
[12] Andersson KE. Potential Future Pharmacological Treatment of Bladder Dysfunction[J]. Basic Clin Pharmacol Toxicol,2016,119 Suppl 3:75-85. DOI:10. 1111/bcpt. 12577.
[13] Rovner E,Dmochowski R,Chapple C,et al. OnabotulinumtoxinA improves urodynamic outcomes in patients with neurogenic detrusor overactivity[J]. Neurourol Urodyn,2013,32(8):1109-1115. DOI:10. 1002/nau. 22376.
[14]周宁,陆敏,陈忠,等.功能性磁刺激与骶神经电刺激治疗神经原性膀胱的疗效比较[J].中国康复医学杂志,2006,21(1):35-37. DOI:10. 3969/j. issn. 1001-1242. 2006. 01. 017.
[15] Utomo E,Groen J,Blok BF. Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction[J]. Cochrane Database Syst Rev, 2014,(5):CD004927. DOI:10. 1002/14651858. CD004927. pub4.
[16] Vírseda MC,Salinas JC,Bolufer E,et al. Endoscopic treatment of vesicoureteral reflux with non-simultaneous involuntary detrusor contraction in chronic spinal cord injury patients with neurogenic detrusor overactivity[J]. Urol Int,2014,93(4):399-402. DOI:10. 1159/000357440.
[17]李杰荣,刘国庆,王剑锋,等.女性膀胱黏膜病变相关膀胱过度活动症患者治疗效果分析[J].广东医学,2013,34(20):3150-3151.
[18] Losco GS,Burki JR,Omar YA,et al. Long-term outcome of transobturator tape(TOT)for treatment of stress urinary incontinence in females with neuropathic bladders[J]. Spinal Cord,2015,53(7):544-546. DOI:10. 1038/sc. 2015. 70.
[2] Laterza RM,Sievert KD,de Ridder D,et al. Bladder function after radical hysterectomy for cervical cancer[J]. Neurourol Urodyn,2015,34(4):309-315. DOI:10. 1002/nau. 22570.
[3]居杏珠,李子庭,杨慧娟,等.子宫颈癌保留神经广泛性子宫切除术与传统广泛性子宫切除术的比较性研究[J].中华妇产科杂志,2009,44(8):605-609. DOI:10. 3760/cma. j. issn.0529-567x. 2009. 08. 012.
[4] Wada N,Shimizu T,Takai S,et al. Post-injury bladder management strategy influences lower urinary tract dysfunction in the mouse model of spinal cord injury[J]. Neurourol Urodyn,2017,36(5):1301-1305. DOI:10. 1002/nau. 23120.
[5]李杰荣,刘国庆,张世林. A型肉毒毒素盆底痛点定位注射在女性盆底肌筋膜疼痛治疗中的意义[J].临床泌尿外科杂志,2018,33(12):950-953.
[6] Aoun F,van Velthoven R. Lower urinary tract dysfunction after nerve-sparing radical hysterectomy[J]. Int Urogynecol J,2015,26(7):947-957. DOI:10. 1007/s00192-014-2574-8.
[7] Panteleimonitis S,Ahmed J,Harper M,et al. Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery[J]. World J Gastrointest Surg,2016,8(11):744-754. DOI:10. 4240/wjgs. v8. i11. 744.
[8] Wein AJ. Re:Long-Term Effectiveness and Complication Rates of Bladder Augmentation in Patients with Neurogenic Bladder Dysfunction:A Systematic Review[J]. J Urol,2019,201(1):38-39. DOI:10. 1097/01. ju. 0000550215. 07396. 8e.
[9]李杰荣,刘国庆,唐华建,等.女性膀胱过度活动症患者临床病理学研究[J].中国当代医药,2010,17(22):107-108. DOI:10. 3969/j. issn. 1674-4721. 2010. 22. 063.
[10] Kanao H,Fujiwara K,Ebisawa K,et al. Various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function[J]. J Gynecol Oncol,2014,25(3):198-205. DOI:10. 3802/jgo. 2014. 25. 3. 198.
[11]刘国庆,李杰荣,张世林,等.女性慢性盆腔疼痛与盆底解剖相关性研究[J].中国医师杂志,2017,19(3):345-348. DOI:10. 3760/cma. j. issn. 1008-1372. 2017. 03. 007.
[12] Andersson KE. Potential Future Pharmacological Treatment of Bladder Dysfunction[J]. Basic Clin Pharmacol Toxicol,2016,119 Suppl 3:75-85. DOI:10. 1111/bcpt. 12577.
[13] Rovner E,Dmochowski R,Chapple C,et al. OnabotulinumtoxinA improves urodynamic outcomes in patients with neurogenic detrusor overactivity[J]. Neurourol Urodyn,2013,32(8):1109-1115. DOI:10. 1002/nau. 22376.
[14]周宁,陆敏,陈忠,等.功能性磁刺激与骶神经电刺激治疗神经原性膀胱的疗效比较[J].中国康复医学杂志,2006,21(1):35-37. DOI:10. 3969/j. issn. 1001-1242. 2006. 01. 017.
[15] Utomo E,Groen J,Blok BF. Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction[J]. Cochrane Database Syst Rev, 2014,(5):CD004927. DOI:10. 1002/14651858. CD004927. pub4.
[16] Vírseda MC,Salinas JC,Bolufer E,et al. Endoscopic treatment of vesicoureteral reflux with non-simultaneous involuntary detrusor contraction in chronic spinal cord injury patients with neurogenic detrusor overactivity[J]. Urol Int,2014,93(4):399-402. DOI:10. 1159/000357440.
[17]李杰荣,刘国庆,王剑锋,等.女性膀胱黏膜病变相关膀胱过度活动症患者治疗效果分析[J].广东医学,2013,34(20):3150-3151.
[18] Losco GS,Burki JR,Omar YA,et al. Long-term outcome of transobturator tape(TOT)for treatment of stress urinary incontinence in females with neuropathic bladders[J]. Spinal Cord,2015,53(7):544-546. DOI:10. 1038/sc. 2015. 70.