摘要
目的探讨自动化盆底超声评估盆底功能障碍性疾病(PFD)术后新发尿失禁的临床价值。方法选取2018年9月至2019年9月在苏州大学附属第一医院因PFD而行经闭孔阴道无张力吊带术(TVT-O)、单纯阴道前后壁修补术以及前盆网片植入手术治疗的60例患者,因妇科良性疾病而行单纯子宫切除的20例患者。对所有患者术后分别行尿失禁问卷简表(ICIQ-SF问卷)调查以及自动化盆底超声检查。通过计算自动化盆底超声测量的特异性超声参数评估术后新发SUI的特异度、灵敏度、阳性预测值和阴性预测值,评估自动化盆底超声与ICIQSF问卷调查之间的一致性。结果单纯修补组的尿道旋转角(59.30±30.09)°显著大于网片组(29.25±30.09)°,差异具有统计学意义(P<0.05)。多种指标联合诊断术后新发SUI的灵敏度为25%、特异度为97.44%、阳性预测值为60%、阴性预测值为89.41%。结论ICIQ-SF问卷调查联合自动化盆底超声共同指导PFD患者术后随访,可以有效提高PFD患者术后随访的价值。自动化盆底超声评估PFD术后新发尿失禁具有显著临床意义。
Objective To explore the clinical value of automated pelvic floor ultrasound in evaluating newly-onset urinary incontinence after surgery for pelvic floor dysfunction(PFD).Methods Sixty female patients who underwent three different surgeries(TVT-O,simple repair of anterior and posterior vaginal wall and mesh implantation)for PFD in the First Affiliated Hospital of Soochow University from September 2018 to September 2020 were selected as observation group,and twenty female patients who underwent total hysterectomy for gynecological benign diseases were selected as control group.All patients underwent ICIQ-SF questionnaire survey and automated pelvic ultrasound examination.The specificity,sensitivity,positive predictive value and negative predictive value of SUI were evaluated by calculating some specific ultrasound parameters of automated pelvic floor ultrasound measurement.Assess the consistency between automated pelvic floor ultrasound and ICIQ-SF questionnaire.Results The urinary rotation angle of simple repair group(59.30±30.09)°was significantly larger than that of mesh group(29.25±30.09)°(P<0.05).The sensitivity of the combined diagnosis of SUI by multiple indicators was 25%,the specificity was 97.44%,the positive predictive value was 60%,and the negative predictive value was 89.41%.Conclusions ICIQ-SF questionnaire survey combined with automated pelvic floor ultrasound to follow up PFD patients after surgery can significantly improve the value of postoperative follow-up in the patients.The assessment of newly-onset urinary incontinence after pelvic floor dysfunction by automated pelvic floor ultrasound has significant clinical significance.
作者
孙桦婷
倪丽萍
汪萍
蔡红红
范文
胡婷
周金华
王娟
丁红梅
陈友国
沈芳荣
SUN Hua-ting;NI Li-ping;WANG Ping;CAI Hong-hong;FAN Wen;HU Ting;ZHOU Jin-hua;WANG Juan;DING Hong-mei;CHEN You-guo;SHEN Fang-rong(The First Affiliated Hospital of Soochow Universuty,Suzhou 215000,China)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2021年第11期1158-1161,共4页
Chinese Journal of Practical Gynecology and Obstetrics
基金
江苏省妇幼健康科研项目(F2019017)。
