经会阴超声在女性压力性尿失禁中的应用价值

发布时间：2018-03-02 14:06

本文选题：尿失禁　切入点：压力性　出处：《中国临床医学影像杂志》2015年03期 　论文类型：期刊论文

【摘要】：目的:探讨经会阴超声检查在女性压力性尿失禁(Stress urinary incontinence,SUI)中的应用价值。方法:对2013年8月—2014年3月河北联合大学附属医院收治的79例SUI患者(轻度SUI组40例、中重度SUI组39例),同期因健康查体就诊后排除SUI和(或)盆腔器官脱垂的患者41例(对照组)行经会阴超声检查,在安静状态下测量膀胱尿道后角(α),在屏气用力动作时检测患者膀胱颈移动度(Mu),将两种状态下的图像冻结并存入计算机,之后测量膀胱颈旋转角度(θ)、膀胱颈下移距离(X)。结果:对照组与轻度SUI组、中重度SUI组间的Mu值、α角、θ角差异均有统计学意义(P0.05),且与SUI的严重程度呈正相关(Mu、α、θ的r值分别为0.861,0.750,0.619,P0.05)。对照组与轻度SUI组、中重度SUI组间的X值差异有统计学意义(P0.05),而轻度SUI组与中重度SUI组间的X值差异无统计学意义(P0.05)。结论:经会阴超声检查能够清晰、直观地显示盆底解剖结构及功能改变,在SUI的诊断中具有重要的应用价值。
[Abstract]:Objective: to investigate the value of transperineal ultrasonography in the diagnosis of stress urinary incontinence in female patients with stress urinary incontinence. Methods: from August 2013 to March 2014, 79 patients with SUI (mild SUI group, 40 cases) were treated in affiliated Hospital of Hebei Union University. 39 cases of moderate and severe SUI group were treated with transperineal ultrasonography. 41 patients who excluded SUI and / or pelvic organ prolapse after health examination were examined by transperineal ultrasonography. The posterior angle of bladder urethra (伪) was measured in a quiet state. The bladder neck mobility was measured during the breath holding force, and the images in both states were frozen and stored in a computer. Then the rotation angle of bladder neck (胃) was measured. Results: control group and mild SUI group. There were significant differences in Mu value, 伪 angle and 胃 angle between moderate and severe SUI groups (P 0.05), and the r values of Mu, 伪, 胃 were 0.861C 0.7500.619 (P0.05), respectively. There was significant difference between the control group and the mild SUI group (P 0.05), and there was a positive correlation between Mu, 伪, 胃 and the severity of SUI in the control group and the mild SUI group. There was significant difference in X value between moderate and severe SUI group, but there was no significant difference in X value between mild SUI group and moderate and severe SUI group. Conclusion: transperineal ultrasonography can clearly and intuitively display the changes of pelvic floor anatomical structure and function. It has important application value in the diagnosis of SUI.
【作者单位】：河北联合大学附属医院超声科;
【分类号】：R711.59;R445.1

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