摘要
目的:探讨盆底超声在压力性尿失禁(SUI)中的应用价值及影响SUI发生的危险因素。方法:选取接受盆底超声检查的120例产后女性为研究对象,根据是否存在SUI分为SUI组(n=68例)和对照组(n=52例)。比较两组静息时膀胱尿道后角、Valsalva时膀胱尿道后角、尿道旋转角度、膀胱颈移动度和逼尿肌厚度;采用受试者工作曲线(ROC曲线)分析盆底超声对SUI的诊断价值;采用Logistic回归分析影响SUI发生的危险因素。结果:SUI组静息时膀胱尿道后角、Valsalva时膀胱尿道后角、尿道旋转角度和膀胱颈移动度大于对照组(P<0.05),两组逼尿肌厚度比较,差异无统计学意义(P>005);超声参数联合预测的ROC曲线面积(AUC)为0.808;单因素分析影响SUI发生的相关因素表明,产妇在产次、分娩方式、新生儿体质量、孕前体质量及会阴撕裂中的差异有统计学意义(P<0.05);多因素Logistic回归分析显示,产次≥2次、阴道分娩、新生儿体质量≥4000 g、孕前体质量≥60 kg及会阴撕裂是SUI发生的主要危险因素。结论:盆底超声检查对诊断SUI具有较好的应用价值;产次≥2次、阴道分娩、新生儿体质量≥4000 g、孕前体质量≥60 kg及会阴撕裂是诱发SUI的主要危险因素。
Objective:To investigate the application value of pelvic floor ultrasound in stress incontinence(SUI)and analyze its risk factors.Methods:A total of 120 female patients receiving pelvic floor ultrasound examination were selected as study subjects,and according to the examination results,they were divided into SUI group(n=68)and normal control group(n=52).The posterior vesicourethral angle,posterior vesicourethral angle at Valsalva,wrethra rotation angle,bladder neck mobility and detrusor thickness at rest were compared between the two groups.ROC curve was used to analyze the diagnostic value of pelvic floor ultrasound in SUI.The risk factors affecting SUI were analyzed by Logistic regression.Results:The posterior vesicourethral angle,posterior vesicourethral angle at Valsalva,wrethra rotation angle and bladder neck mobility of SUI group were significantly higher than those of the control group at rest(P<0.05),while there was no significant difference in detrusor thickness between the two groups(P>0.05).The ROC curve area predicted by combined ultrasonic parameters was 0.808.Univariate analysis of the related factors affecting the occurrence of SUI showed that there were significant differences in the number of births,delivery mode,neonatal body mass,pre-pregnancy body mass and perineal tear(P<0.05).Multivariate Logistic regression analysis of the relevant factors affecting the occurrence of SUI showed that the number of deliveries≥2,vaginal delivery,neonatal body mass≥4000g,pre-pregnancy body mass≥60kg and perineal tear were the main risk factors.Conclusion:It is useful to observe the parameters of pelvic floor ultrasound in diagnosing stress urinary incontinence.Delivery times≥2,vaginal delivery,neonatal body mass≥4000g,pre-pregnancy body mass≥60kg and perineal tear are the main risk factors for inducing pressure incontinence.
作者
臧加英
王叶红
高波
ZANG Jia-ying;WANG Ye-hong;GAO Bo(Department of Ultrasound,1.Gaochun District People's Hospital,Nanjing 211300,Jiangsu;The Fifth Affiliated Hospital of Zunyi Medical University,Zhuhai 519100,Guangdong,China)
出处
《川北医学院学报》
CAS
2021年第5期618-621,共4页
Journal of North Sichuan Medical College
基金
黑龙江省双鸭山市科技成果转化与应用项目(2018SF02)。
关键词
盆底超声
压力性尿失禁
诊断
危险因素
Pelvic floor ultrasound
Stress urinary incontinence
Diagnosis
Risk factors
