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压力性尿失禁(SUI)是老年女性常见疾病。国外大量研究证实,阴道穹窿膨出与尿失禁有密切关系。分娩损伤,绝经后激素水平低下,主韧带-宫骶韧带复合体薄弱,妇科手术后的盆底损伤,以及长期咳嗽、便秘等引起腹压增加的疾病是阴道穹窿膨出的病因。阴道支持结构的薄弱及破坏导致阴道穹窿膨出,阴道穹窿膨出的患者,11%有SUI症状。近年来,阴道穹窿膨出的发病率逐年上升,针对病因积极预防和治疗阴道穹窿膨出,可使广大中老年妇女免受尿失禁的困扰,提高生活质量。现就阴道穹窿膨出与尿失禁关系的研究及治疗进展进行综述。
Stress urinary incontinence (SUI) is a common disease in elderly women. A large number of foreign studies confirm that the vaginal vault bulging and urinary incontinence are closely related. Childbirth damage, low postmenopausal hormone levels, weakening of the primary ligament - uterosacral ligament complex, pelvic floor injury following gynecological surgery, and chronic abdominal cough and constipation are the causes of vaginal vault bulging. Vaginal support structure weakness and destruction led to vaginal vault bulging, vaginal vault bulging patients, 11% SUI symptoms. In recent years, the incidence of vaginal vault bulging increased year by year, for the cause of active prevention and treatment of vaginal vault bulging, can make the majority of elderly women free from urinary incontinence problems and improve the quality of life. Now on the vaginal vault bulging incontinence and the relationship between research and treatment are reviewed.