摘要
目的探讨盆底超声对压力性尿失禁(SUI)的诊断价值及康复治疗评估的应用价值。方法选取西安市第三医院2018年1至5月期间收治的女性SUI患者67例作为观察组,并另选同时间段67例正常女性作为对照组,所有患者均进行盆底超声检查。嘱咐患者进行Valsalva呼吸,并在Valsalva状态下,观察比较两组患者膀胱颈移动度(Mu)、尿道膀胱后角(Ar、As)、膀胱颈旋转角(θ)、尿道内口漏斗形成率及膀胱颈至耻骨联合中点的距离(Br、Bs),通过对观察组患者进行8周的盆底康复治疗后再进行盆底超声复查,并评估治疗效果。结果盆底康复治疗前,观察组安静和Valsalva呼吸下3次测得的Mu、Br、Bs、Ar、As、θ值均高于对照组,差异均有统计学意义(t值分别为25.733、10.615、13.846、18.947、11.910、23.436,均P<0.05);观察组尿道内口漏斗形成率高于对照组(83.58%vs. 7.46%),差异有统计学意义(χ^2=78.269,P<0.05);经过盆底康复治疗后,观察组安静和Valsalva呼吸下3次测得的Mu、Br、Bs、Ar、As、θ值均低于治疗前,且差异均有统计学意义(t值分别为25.734、8.936、12.278、14.314、10.883、16.629,均P<0.05)。结论盆底超声运用于SUI患者,不仅具有较高的诊断价值,且具有一定的盆底康复治疗评估价值,值得临床推广及应用。
Objective To investigate the value of pelvic ultrasound in the diagnosis and rehabilitation evaluation of stress urinary incontinence.Methods 67 women with stress urinary incontinence(observation group) treated in Xi’an NO.3 Hospital from January to May 2018 and 67 cases of healthy women(control group) were selected and all received the pelvic ultrasound.The bladder neck mobility(Mu),posterior urethral bladder angle(Ar,As),bladder neck rotation angle(θ),incidence of internal urethral orifice and bladder neck to pubic symphysis midpoint distance(Br,Bs) in two groups were observed and compared under Valsalva action.After 8 weeks of treatment of pelvic floor rehabilitation,subjects in the observation group received the pelvic ultrasound again to evaluate the rehabilitation effect.Results Before pelvic floor rehabilitation treatment,the mean values of Mu,Br,Bs,Ar,As and θ under resting state and Valsalva action in the observation group were higher than those of the control group(t values were 25.733,10.615,13.846,18.947,11.910 and 23.436,respectively,all P<0.05).The incidence of internal urethral orifice in the observation group was higher than that of the control group(83.58% vs. 7.46%,χ^2=78.269,P<0.05).After rehabilitation training,the mean values of Mu,Br,Bs,Ar,As and θ under resting state and Valsalva action in the observation group were all lower than before treatment(t values were 25.734,8.936,12.278,14.314,10.883 and 16.629,respectively,all P<0.05).Conclusion The pelvic ultrasound has a higher diagnosis value in stress urinary incontinence and can evaluate the rehabilitation effect,which is worthy of application.
作者
郑小叶
张丹
谢晴
马敏涛
王文利
ZHENG Xiaoye;ZHANG Dan;XIE Qing;MA Mintao;WANG Wenli(Department of Ultrasonography,Xi'an NO.3 Hospital,Xi'an 710018,Shaanxi,China;Department of Ultrasound,Honghui Hospital Affiliated to Xi'an Jiaotong University,Xi'an 710054,Shaanxi,China)
出处
《中国妇幼健康研究》
2019年第10期1239-1243,共5页
Chinese Journal of Woman and Child Health Research
关键词
盆底超声
压力性尿失禁
诊断价值
治疗评估
pelvic ultrasound
stress urinary incontinence
diagnostic value
rehabilitation evaluation
