摘要
目的 观察盆底超声用于产后压力性尿失禁(SUI)诊断及康复训练疗效评价的效果.方法 选择2017年5月至2019年5月湖州市第一人民医院收治的SUI患者200例及同期健康产妇200例为研究对象,所有研究对象进行经会阴盆底超声检测,并指导SUI患者进行盆底肌康复训练,评价康复训练疗效,统计分析SUI患者与健康产妇、不同疗效SUI患者之间盆底超声参数检测数值差异.结果 SUI患者膀胱颈移动距离、尿道旋转角、静息状态膀胱尿道后夹角和Valsalva状态膀胱尿道后夹角等盆底超声检测数值均显著高于健康产妇(t=6.536~ 14.925,均P<0.05);且SUI患者尿道内漏斗形成率[88.50%(177/200)]显著高于健康产妇[10.50% (21/200)](x2=243.384,P<0.05);盆底肌康复训炼总体有效率为79.50% (159/200);康复训练无效SUI患者膀胱颈移动距离、尿道旋转角、静息状态膀胱尿道后夹角和Valsalva状态膀胱尿道后夹角等盆底超声检测数值均显著高于康复训练总体有效SUI患者(=4.662~ 12.537,均P=<0.05);且康复训练无效SUI患者尿道内漏斗形成率[70.73% (29/41)]显著高于康复训练总体有效SUI患者水平[19.50% (31/159)](x2=40.744,P<0.05).结论 盘底肌康复训练可有效缓解产后SUI患者相关临床症状,盆底超声检测对产后压力性尿失禁诊断及康复训练疗效评价均具有一定应用价值.
Objective To observe the clinical efet of pelvie floor ultrasound in the diagnosis and rehabilitation training of postpartum stress urinary incontinence(SUI).Methods From May 2017 to May 2019,200 SUI patients and 200 healthy pregnant women in the same period admitted to the First Peoples Hospital of Huzhou were selected in this study.All the subjects were tested by perineum and pelvic floor ultrasound,and the patients with SUI were instructed to carry out pelvie floor muscle rehabilitation training,the level of rehabilitation training efeet was evaluated,and to statistically analyze the difference of pelvic floor ultrasound parameters between the patients with SUI and the healthy women,and the patients with different levels of fficacy.Results The results of pelvie floor ultrasound in SUI patients were significantly higher than those in healthy women(t=6.536-14.925,all P<005).The rate of urinary leakage in SUI patients[88.50%(177/200)]was significantly higher than that in healthy women[10.50%(21/200)](χ2=243.384,P<0.05).The tolal ffctive rate of rehabilitation training was 79.50%(159/200).The bladder neck moving distance,urethra rotation angle,posterior angle of bladder urethra in resting stale and posterior angle of bladder urethra in Valsalva state in SUI patients with ineffective rehabiliation training were signifcanly higher than those in SUI patients with general efective rehabilitation training(t=4.662-12.537,all P<0.05).The formation rale of urethra infundibulum in SUI patients with inffective rehabilitation training[70.73%(29/41)]was sigificantly higher than that in SUI patients with efeetive rehabiliation training[19.50%(31/159)](χ2=40.744,P<0.05).Conclusion The rehabilitation training of discoid muscles can efectively relieve the related elinical symptoms of postnatal SUI patients.The detection of pelvie ultrasound has a certain clinical value in the diagnosis of postpartum SUI and evaluation of rehabilitation training ffect.
作者
陆敏姣
姬亚敏
董爱春
邓弼云
Lu Minjiao;Ji Yamin;Dong Aichun;Deng Biyun(Department of Ultrasound,the First People's Hospital of Huzhou,Huzhou,Zhejiang 313000,China)
出处
《中国基层医药》
CAS
2020年第20期2458-2462,共5页
Chinese Journal of Primary Medicine and Pharmacy
关键词
超声检查
多普勒
彩色
产后期
尿失禁
压力性
骨盆底
诊断
康复
Ultrasonography,doppler,color
Postpartum period
Urinary incontinence,stress
Pelvic floor
Diagnosis
Rehabilitation
