经会阴超声评估女性压力性尿失禁参数特点及盆底康复治疗效果

发布时间：2018-12-28 13:59

【摘要】：目的本研究通过会阴超声测量正常女性及SUI女性的超声参数,比较SUI女性盆底康复治疗前后膀胱颈移动度(BND)、张力期膀胱颈位置(V-BN-S)、尿失禁生活质量问卷(I-Qo L)评分、1 h漏尿量变化,以评估盆底康复治疗效果。方法经会阴超声测量22例正常已生育女性(对照组)、31例SUI女性(SUI组)的静息期膀胱颈(BN)、张力期膀胱尿道后角(RVA)、膀胱颈与耻骨联合的垂直距离(BN-S),计算尿道旋转角度(UR)、膀胱颈移动度(BND)。结果 SUI组BN位置[(22.74±3.87)mm]较对照组[(26.80±4.02)mm]下移(P0.001),张力期BN位置[(-8.74±6.96)mm]较对照组[(3.25±5.22)mm]下移(P0.001),BND[(31.51±7.27)mm]较对照组[(23.55±6.90)mm]增加(P0.001)。经盆底康复治疗后,SUI组张力期BN位置[(-4.81±6.62)mm]较治疗前[(-8.74±6.96)mm]上移(P0.001),治疗后BND[(27.35±5.75)mm]较治疗前[(31.52±7.28)mm]减少(P0.001),治疗后尿失禁生活质量问卷(I-Qo L)评分[(50.78±15.16)分]高于治疗前[(29.80±11.02)分](P0.000)。SUI组盆底康复治疗前后BND变化与I-Qo L评分呈正相关(r=0.836,P0.001)、与1 h漏尿量呈正相关(r=0.785,P0.001)。结论 SUI组超声表现为BN位置较对照组低、BND较对照组增加;盆底康复治疗后SUI组张力期BN位置较治疗前上移,BND较治疗前有减少。
[Abstract]:Objective to compare the position of bladder neck (V-BN-S) during bladder neck mobility (BND), tension phase before and after pelvic floor rehabilitation in SUI women by measuring the ultrasonic parameters of normal women and SUI women by perineal ultrasound. Urinary incontinence quality of life (I-Qo L) score and 1 hour urine leakage were evaluated to evaluate the effect of pelvic floor rehabilitation. Methods the vertical distance (BN-S) between the (RVA), bladder neck and pubic joint of 22 normal fertile women (control group) and 31 SUI women (SUI group) was measured by transperineal ultrasound. Calculation of urethral rotation angle (UR), bladder neck mobility (BND). Results the BN position in SUI group [(22.74 卤3.87) mm] was lower than that in control group [(26.80 卤4.02) mm] (P0.001). The position of BN in tension period [(-8.74 卤6.96) mm] was significantly lower than that in control group [(3.25 卤5.22) mm] (P0.001), BND [(31.51 卤7.27) mm] than that in control group [(23.55 卤6.90) mm] (P0.001). After pelvic floor rehabilitation, the position of BN in tension phase [(-4.81 卤6.62) mm] in SUI group was higher than that before treatment [(-8.74 卤6.96) mm] (P0.001). After treatment, BND [(27.35 卤5.75) mm] was lower than that before treatment [(31.52 卤7.28) mm] (P0.001). The quality of life questionnaire (I-Qo L) score of urinary incontinence after treatment [(50.78 卤15.16)] was higher than that before and after treatment [(29.80 卤11.02)] (P0.000). SUI group before and after pelvic floor rehabilitation treatment BND changes and I-Qo L evaluation The scores were positively correlated (r = 0.836, r = 0. 836). There was a positive correlation between the amount of urine leakage at 1 hour and the volume of urine leakage (r = 0.785n, P 0.001). Conclusion the location of BN in SUI group is lower than that in control group, BND is higher than that in control group, the position of BN in tension phase of SUI group is higher than that before treatment, and BND is decreased after pelvic floor rehabilitation therapy.
【作者单位】：广东省韶关市粤北人民医院妇产科;
【分类号】：R711.59

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