超声观察尿道旋转角在女性压力性尿失禁中的应用

发布时间：2018-05-20 06:25

  本文选题：尿失禁 + 压力性　； 参考：《中国临床医学影像杂志》2017年05期

【摘要】：目的:探讨经会阴超声观察尿道旋转角在女性压力性尿失禁(SUI)中的诊断价值。方法:回顾性分析2012年11月-2015年11月经临床诊断为SUI女性患者260例为病例组,同时选择无症状女性患者60例作为对照组,两组患者均进行经会阴超声检查,观察两组患者尿道旋转角(URA)的情况,评估URA在SUI中的诊断价值。结果:两组患者年龄、BMI比较无统计学差异(P0.05)。病例组患者URA大小(57.0±26.9)°,对照组患者URA大小(32.3±13.3)°,两组结果比较具有统计学差异(P0.05)。应用受试者工作(ROC)曲线分析得出,当以URA 45°作为诊断SUI的截断值,其曲线下面积为0.771,敏感度为66.8%、特异度为85.0%。结论:尿道旋转角在女性压力性尿失禁诊断中具有较高的价值,诊断截断值的确定有助于临床对SUI患者的诊断及评估。
[Abstract]:Objective: to evaluate the diagnostic value of urethral rotation angle in female stress urinary incontinence (sui) by transperineal ultrasonography. Methods: from November 2012 to November 2015, 260 women with SUI were selected as the case group and 60 asymptomatic female patients as the control group. The patients in both groups were examined by transperineal ultrasonography. To evaluate the diagnostic value of URA in SUI by observing urethral rotation angle (URAA). Results: there was no significant difference in BMI between the two groups (P 0.05). The size of URA was 57.0 卤26.9 掳in the case group and 32.3 卤13.3 掳in the control group. The difference between the two groups was statistically significant (P 0.05). The results showed that the area under the curve was 0.771, the sensitivity was 66.8, and the specificity was 85.0 when URA 45 掳was used as the truncation value for diagnosis of SUI. Conclusion: the urethral rotation angle has a high value in the diagnosis of female stress urinary incontinence. The determination of diagnostic truncation value is helpful for clinical diagnosis and evaluation of SUI patients.
【作者单位】： 中山大学附属第三医院超声科;
【基金】：广东省科技计划项目(2014A020212661) 广东省医学科研基金(A2015284)
【分类号】：R445.1;R694.54
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