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尿失禁的分类有哪些?What is the classification of urinary incontinence?

  • 来源:xjat
  • 作者:xjat
  • 更新日期:2019-04-27 21:20
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陈凤林教授指出:尿失禁根据它的发病原因分为四类: Professor Chenfenglin pointed out that urinary incontinence is divided into four categories according to its causes: ①真性尿失禁:是指在任何体位及任何时候发生的尿失禁。由于膀胱或尿路感染、

陈凤林教授指出:尿失禁根据它的发病原因分为四类: Professor Chenfenglin pointed out that urinary incontinence is divided into four categories according to its causes:

①真性尿失禁:是指在任何体位及任何时候发生的尿失禁。由于膀胱或尿路感染、结石、结核、肿瘤等疾患使膀胱逼尿肌过度收缩、尿道括约肌过度松弛,以致尿液不能控制从膀胱流出;

1 True urinary incontinence: refers to urinary incontinence that occurs in any position and at any time. Due to bladder or urinary tract infections, stones, tuberculosis, tumors and other diseases, the bladder detrusor muscle is excessively constricted, and the urethral sphincter is excessively relaxed, so that urine can not control the outflow from the bladder;

②充盈性尿失禁:是指由于各种原因所致的慢性尿潴留后,膀胱在极度充盈的情况下,膀胱内压力超过正常尿道括约肌的阻力,尿液从尿道溢出。

2 Surplus urinary incontinence: means that after chronic urinary retention due to various reasons, the bladder is extremely full, and the pressure in the bladder exceeds the resistance of the normal urethral sphincter, and urine spills from the urethra.

③急迫性尿失禁:是指患者因膀胱内病变引起膀胱收缩并产生强烈尿意的情况下,不能控制小便而使尿液流出。主要是由于逼尿肌的过度活动所致。

3 Urinary incontinence: refers to the patient's bladder contraction due to bladder lesions and strong urine, unable to control urine and urine outflow. It is mainly due to excessive activity of the detrusor muscles.

④压力性尿失禁:是指在腹部压力增高时导致的尿液不自主流出,但不是由逼尿肌收缩压或膀胱壁对尿液的张力压所引起。是由于尿道括约肌松弛,在用力咳嗽、大笑、打喷嚏、举重物时,骤然增加腹内压,造成少量尿液不自主溢出,多见于中青年妇女功能性尿道括约肌松弛,或妊娠子宫压迫、产伤、巨大子宫纤维瘤或卵巢囊肿压迫等;分为二型:90%以上为解剖型压力性尿失禁,为盆底组织松弛引起;不足10%为尿道内括约肌障碍型,为先天发育异常所致。

4 Stress incontinence: refers to the involuntary outflow of urine caused by increased abdominal pressure, but it is not caused by the compression of the detrusor muscle or the tension pressure of the bladder wall on the urine. It is due to the relaxation of the urethra sphincter. When coughing, laughing, sneezing, and lifting heavy weights, the abdominal pressure is suddenly increased, resulting in a small amount of involuntary urine overflow. It is mostly seen in functional urethra sphincter relaxation in young and middle-aged women. Or pregnancy uterine pressure, birth injury, huge uterine fibroma or ovarian cyst compression; Divided into two types: more than 90 % for anatomical pressure urinary incontinence, caused by pelvic floor tissue relaxation; Less than 10 % is the type of sphincter disorder in the urethra, which is caused by congenital abnormal development.

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