摘要
目的:探讨经会阴四维超声成像技术在产后早期压力性尿失禁诊断中的临床应用价值。方法:随机选取经阴道分娩、并于产后6～8周接受经会阴盆底超声检查的产妇110例,其中研究组55例(SUI组)确诊为压力性尿失禁,同期对照组55例均无压力性尿失禁。所有纳入者均行静息和Valsalva动作状态下经会阴四维超声成像检查,对检查结果进行对比分析。结果:SUI组膀胱颈移动度(BND)、膀胱尿道后角(PVUA)、尿道旋转角(URA)、肛提肌裂孔面积(LHA)及尿道内口漏斗形成率均明显高于对照组,差异均有统计学意义(P<0.05)。静息状态下SUI组逼尿肌厚度(3.31±0.85)mm,对照组(3.21±0.75)mm,两组比较差异无统计学意义(t=0.796,P=0.001)。静息状态下,SUI组较对照组膀胱颈位置更低、膀胱尿道后角更大,差异有统计学意义(P<0.05)。结论:盆底超声成像技术在产后早期压力性尿失禁患者的早期诊断中,具有重要的价值。
Objective ：To discuss the application value of perineal four dimensional ultrasound imaging for postpartum stress urinary incontinence. Methods：Transperineal pelvic floor ultrasound was performed on a random sample of 110 primiparas in 6 to 8 weeks after vaginal delivery who were divided into SUI group （55 cases）and control group（55 cases）.All puerperas were given perineal four dimensional ultrasound imaging under the quiet, Valsalva （breath-holding） motion. Results：The bladder neck mobility （BND）, posterior vesicourethral angle （PVUA）, urethral rotation angle （URA）, levator ani hiatus area （LHA） and funnel formation rate of urethral orifice in SUI group were significantly higher than those in control group（ P 〈0.05）.The detrusor thickness in group SUI was significantly higher than that in control group at rest （ P =0.001）. Compared with control group, the position of bladder neck was lower and the posterior angle of bladder and urethra was larger in SUI group at rest （ P 〈0.05）.Conclusion： Pelvic floor ultrasonography plays an important role in the early diagnosis of early postpartum stress urinary incontinence.
作者
曹晓燕
齐艳
薛爱琴
Cao Xiaoyan;Qi Yan;Xue Aiqin(Department of Ultrasound of Yan＇an People＇s Hospital（Yan＇an 716000)
出处
《陕西医学杂志》
CAS
2018年第12期1561-1564,共4页
Shaanxi Medical Journal
基金
陕西省延安市科技惠民计划项目(2016HM-04-05)
陕西省延安市科技攻关计划项目(2018KS-18-02)
关键词
超声检查
多谱勒
彩色
尿失禁
压力性/诊断
产后期
会阴
盆底功能障碍
Ultrasonography,doppler,color
Urinary incontinence,stress/diagnosis
Postpartum period
Perineum
Pelvic floor disorders
