产后盆底三维超声联合盆底肌张力评估技术对压力性尿失禁的诊断价值

Diagnostic Value of Postpartum Three Dimensional Pelvic Floor Ultrasound Combined with Pelvic Floor Muscle Tension Assessment Technique in Stress Urinary Incontinence

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摘要目的探讨产后盆底三维超声联合盆底肌张力评估技术对压力性尿失禁的诊断价值。方法选取2019年1月—2023年1月旬阳市人民医院收治的72例压力性尿失禁患者作为研究对象,将其分为观察组,另选取同期来旬阳市人民医院体检的72名产后未出现压力性尿失禁的志愿者作为对照组,对所有女性均采取三维超声与盆底肌张力评估。对比两组受检者盆底三维超声参数及盆底肌张力评估参数,以临床诊断压力性尿失禁为金标准分析产后盆底三维超声联合盆底肌张力评估技术对压力性尿失禁的诊断效能。结果观察组Valsalva状态和静息状态盆膈裂孔面积、膀胱尿道后角参数明显高于对照组,Valsalva状态和静息状态耻骨直肠及厚度低于对照组(P<0.05);观察组患者耐力收缩(Ⅱ类肌)、持续收缩(Ⅰ类肌)、快速收缩(Ⅰ类肌)参数明显低于对照组,前静息电位、后静息电位参数明显高于对照组(P<0.05);盆底三维超声联合盆底肌张力评估技术对压力性尿失禁的诊断灵敏度与特异度明显高于单一诊断(P<0.05)。结论对压力性尿失禁患者可通过盆底三维超声观察其盆底结构和功能变化,通过盆底肌张力评估技术可对盆底肌不同情况的肌张力进行评估,且两者联合对于压力性尿失禁的诊断灵敏度和特异度高于单一诊断。 Objective To explore the diagnostic value of postpartum three-dimensional ultrasound of pelvic fl oor combined with pelvic fl oor muscle tension assessment technology for stress Urinary incontinence.Methods A total of 72 patients with stress Urinary incontinence admitted to our hospital from January 2019 to January 2023 were selected as the research objects,and they were divided into the observation group.In addition,72 volunteers who came to our hospital for physical examination at the same time and did not appear stress Urinary incontinence after delivery were selected as the control group.All women were taken three-dimensional ultrasound and pelvic fl oor muscle tension assessment.The three-dimensional ultrasound parameters of the pelvic fl oor and pelvic fl oor muscle tension assessment parameters of the two groups of subjects were compared,and the diagnostic effi cacy of three-dimensional ultrasound of the pelvic fl oor combined with pelvic fl oor muscle tension assessment technology in postpartum stress Urinary incontinence was analyzed based on the gold standard of clinical diagnosis of stress Urinary incontinence.Results The area of the pelvic hiatus and parameters of the posterior angle of the bladder and urethra in the observation group were signifi cantly higher than those in the control group in the Valsalva state and resting state,while the puborectal thickness and thickness in the Valsalva state and resting state were lower than those in the control group(P<0.05);The parameters of endurance contraction(type II muscle),continuous contraction(type I muscle)and rapid contraction(type I muscle)in the observation group were signifi cantly lower than those in the control group,and the parameters of the anterior Resting potential and the posterior Resting potential were signifi cantly higher than those in the control group(P<0.05);The sensitivity and specifi city of three-dimensional pelvic fl oor ultrasound combined with pelvic fl oor muscle tension assessment in the diagnosis of stress Urinary incontinen

作者吉新月朱显琴彭志伟 JI Xing-yue;ZHU Xian-qin;PENG Zhi-wei(Department of Gynecology,Xunyang People's Hospital,Xunyang Shaanxi,725700,China)

机构地区旬阳市人民医院妇科

出处《中华养生保健》 2024年第13期49-52,共4页 CHINESE HEALTH CARE

关键词盆底三维超声盆底肌张力评估压力性尿失禁诊断效能 pelvicﬂoor three-dimensional ultrasound assessment of pelvicﬂoor muscle tension stress urinary incontinence diagnostic effectiveness

分类号 R713.1 [医药卫生—妇产科学]