盆底超声测量对女性压力性尿失禁的应用

发布时间：2018-03-11 05:24

本文选题：压力性尿失禁　切入点：盆底　出处：《实用医学杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的:探讨盆底超声多个参数对女性压力性尿失禁(SUI)的诊断价值。方法:收集行盆底超声检查者200例,其中有SUI症状55例为研究组,临床排除SUI 145例为对照组,测量膀胱颈移动度(BND)、Valsalva状态膀胱尿道后角(PVUA)、尿道旋转角(URA)及肛提肌裂孔面积(LHA),评估诊断意义。结果:研究组和对照组经盆底超声测量膀胱颈移动度、Valsalva状态的膀胱尿道后角和Valsalva状态肛提肌裂孔面积及尿道旋转角,差异均有统计学意义(均P0.001),4个数据联合诊断的曲线下面积为0.98。结论:综合分析盆底超声测量膀胱颈移动度、Valsalva状态膀胱尿道后角及肛提肌裂孔面积、尿道旋转角对诊断女性SUI有较高诊断价值。
[Abstract]:Objective: to investigate the diagnostic value of multiple parameters of pelvic floor ultrasound in female patients with stress urinary incontinence (sui). Methods: 200 patients with pelvic floor ultrasound examination were collected, 55 of whom had SUI symptoms as study group, and 145 of whom were clinically excluded from SUI as control group. To evaluate the diagnostic significance of the measurement of bladder neck mobility and the area of the fissure of the levator ani muscle of the posterior horn of bladder urethra PVUAA, urethral rotation angle URAA, and the area of the fissure of levator ani muscle. Results: the bladder urine of the study group and the control group were measured by pelvic floor ultrasound to measure the bladder neck mobility and the valsalva state of the bladder neck. The area of levator ani muscle fissure and urethral rotation angle in the posterior horn of the canal and Valsalva state, The difference was statistically significant (P 0.001). The area under the curve of 4 data combined diagnosis was 0.98.Conclusion: the pelvic floor ultrasound was used to measure the posterior angle of bladder urethra and the area of levator ani muscle fissure in Valsalva state. Urethral rotation angle has high diagnostic value for female SUI.
【作者单位】：广州医科大学附属第三医院超声医学科;
【分类号】：R445.1;R711.59

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