经会阴超声检查对女性压力性尿失禁的诊断价值
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摘要
目的探讨经会阴超声检查对女性压力性尿失禁的诊断价值。方法选取我院女性压力性尿失禁患者80例,按病情程度将患者分为轻度组(38例)和中重度组(42例);同时选取40例同期因健康查体就诊后排除女性压力性尿失禁及盆腔器官脱垂者为对照组。所有研究对象均行经会阴超声检查,对比分析检查结果。结果轻度组及中重度组患者膀胱尿道后角(α)、膀胱颈旋转角度(θ)、膀胱颈移动度(Mu)、膀胱颈下移距离(X)均高于对照组,且中重度组α角、θ角、Mu值高于轻度组,差异有统计学意义(P<0.05);α角、θ角、Mu值与压力性尿失禁程度均呈正相关(P<0.05),但X值与压力性尿失禁程度无明显相关性(P>0.05)。结论经会阴超声检查在女性压力性尿失禁患者中具有较高的价值,可清晰直观地对盆底解剖结构及功能改变情况进行观察,可为临床诊疗提供参考,值得推广应用。
Objective To explore the diagnostic value of perineal ultrasonography in female stress urinary incontinence.Methods Eighty female patients with stress urinary incontinence admitted to our hospital were divided into mild group(38 cases) and moderate-to-severe group(42 cases) according to the severity of the disease. In the same period, 40 cases women without stress urinary incontinence and pelvic organ prolapse in our hospital due to physical examination were selected into the control group. All research objects underwent perineal ultrasonography and the results of the examination were analyzed. Results The vesical urethra angle(α), bladder neck rotation angle(θ), bladder neck movement(Mu), bladder neck down distance(X) of the mild group and moderate-to-severe group were higher than those of the control group, and the angle of α, θ, value of Mu, in the moderate to severe group were higher than the mild group(P<0.05); and the angles ofα, θ and value of Mu were positively correlated with the degree of stress urinary incontinence(P<0.05). but there was no significant correlation between the X and the degree of stress urinary incontinence(P >0.05). Conclusion Perineal ultrasonography has high value in female patients with stress urinary incontinence. It can intuitively and clearly observe the anatomic structure and functional changes of the pelvic floor. It can provide reference for clinical diagnosis and treatment,which is worth promoting application.
Objective To explore the diagnostic value of perineal ultrasonography in female stress urinary incontinence.Methods Eighty female patients with stress urinary incontinence admitted to our hospital were divided into mild group(38 cases) and moderate-to-severe group(42 cases) according to the severity of the disease. In the same period, 40 cases women without stress urinary incontinence and pelvic organ prolapse in our hospital due to physical examination were selected into the control group. All research objects underwent perineal ultrasonography and the results of the examination were analyzed. Results The vesical urethra angle(α), bladder neck rotation angle(θ), bladder neck movement(Mu), bladder neck down distance(X) of the mild group and moderate-to-severe group were higher than those of the control group, and the angle of α, θ, value of Mu, in the moderate to severe group were higher than the mild group(P<0.05); and the angles ofα, θ and value of Mu were positively correlated with the degree of stress urinary incontinence(P<0.05). but there was no significant correlation between the X and the degree of stress urinary incontinence(P >0.05). Conclusion Perineal ultrasonography has high value in female patients with stress urinary incontinence. It can intuitively and clearly observe the anatomic structure and functional changes of the pelvic floor. It can provide reference for clinical diagnosis and treatment,which is worth promoting application.
引文
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[8]肖汀,张新玲,杨丽新,等.超声测量肛提肌裂孔面积在女性压力性尿失禁诊断中的应用[J].中国医学影像技术,2016,32(9):1419-1422.
[9]余珊珊,郑转梅,乞艳华,等.经会阴二维及三维超声对压力性尿失禁患者TVT-O手术前后盆底结构的观察[J].陕西医学杂志,2017,46(2):193-195.
[2]李宁,阚艳敏,马琳.经会阴超声对妊娠晚期压力性尿失禁患者盆底结构的观察[J].临床超声医学杂志,2015,17(8):539-541.
[3]王婧霖,侯瑞,吕卓,等.经会阴实时三维超声评价女性压力性尿失禁的应用价值[J].医学影像学杂志,2016,26(10):1867-1869.
[4]张静芳,胡海燕,李梅梅,等.三维经会阴超声对绝经后女性压力性尿失禁患者行无张力阴道吊带术的疗效评价[J].中国计划生育和妇产科,2017,9(11):63-66.
[5]许源城,杨飞,李文标,等.经会阴实时三维超声在女性压力性尿失禁患者中的应用[J].广东医学,2017,38(18):2778-2781.
[6]吴海燕,向双,尹慧,等.经会阴三维断层超声成像对女性压力性尿失禁肛提肌缺陷的观察[J].临床超声医学杂志,2017,19(7):481-483.
[7]李小鹏,余珊珊,乞艳华,等.经会阴二维及三维超声观察陕西省女性压力性尿失禁患者盆底结构的价值初探[J].中国妇幼健康研究,2016,27(9):1148-1151.
[8]肖汀,张新玲,杨丽新,等.超声测量肛提肌裂孔面积在女性压力性尿失禁诊断中的应用[J].中国医学影像技术,2016,32(9):1419-1422.
[9]余珊珊,郑转梅,乞艳华,等.经会阴二维及三维超声对压力性尿失禁患者TVT-O手术前后盆底结构的观察[J].陕西医学杂志,2017,46(2):193-195.