Dynamic MRI for assessment of the anatomical and functional significance of the bladder and urethra in female stress urinary incontinence
10.11659/jjssx.1672-5042.201402020
- VernacularTitle:动态MRI在评估女性压力性尿失禁患者膀胱尿道解剖及功能学中的意义
- Author:
Hongjun SHEN
;
Zhengwei HU
;
Wenqian HUO
;
Keqin ZHANG
- Publication Type:Journal Article
- Keywords:
stress urinary incontinence;
dynamic MRI;
levator ani muscles;
urodynamic
- From:
Journal of Regional Anatomy and Operative Surgery
2014;(2):162-164,167
- CountryChina
- Language:Chinese
-
Abstract:
Astract:Objective To assess the anatomical and functional significance of the bladder and urethra in female SUI by dynamic MRI and urodynamic. Methods The clinical data were retrospectively analysed on 60 cases of female stress urinary incontinence from Feb 2011 to Nov 2013. All the women received pelvic floor dynamic MRI and Urodynamic study. Measured the urethral angle,the distance of the H line, M line and the descent of the bladder,cervical,anorectal junction from the PCL in the mid-sagittal dynamic MR image of the pelvic. Pearson 's correlation coefficient was used to examine the association among the distance of the H line,M line and the urethral angle,the descent of the bladder,cervical,anorectal junction from the PCL and the Urodynamic data. Results The distance of the H line,M line were significantly and positively associated with urethral angle and the descent of the bladder,cervical,anorectal junction from the PCL. The distance of the H line,M line were significantly and negatively associated with functional profile length, maximum urethral closure pressure,VLPP and detrusor opening pressure. Conclusion Pelvic floor dynamic MRI combined with Urodynamic study is useful for assessing the anatomical and func-tional significance of the bladder and urethra in female SUI.
