[1]王巧云,任 伟.盆底超声测量前腔室结构参数对产后压力性尿失禁的诊断价值[J].陕西医学杂志,2022,51(12):1540-1543.[doi:DOI:10.3969/j.issn.1000-7377.2022.12.017]
　WANG Qiaoyun,REN Wei.Diagnostic value of pelvic floor ultrasound measurement of anterior chamber structural parameters in postpartum stress urinary incontinence[J].,2022,51(12):1540-1543.[doi:DOI:10.3969/j.issn.1000-7377.2022.12.017]
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盆底超声测量前腔室结构参数对产后压力性尿失禁的诊断价值
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年12期
页码:
1540-1543
栏目:
临床研究
出版日期:
2022-12-05

文章信息/Info

Title:
Diagnostic value of pelvic floor ultrasound measurement of anterior chamber structural parameters in postpartum stress urinary incontinence
作者:
王巧云; 任 伟
(延安大学附属医院超声科,陕西 延安 716000)
Author(s):
WANG Qiaoyun; REN Wei
(Department of Ultrasound,Affiliated Hospital of Yan'an University,Yan'an 716000,China)
关键词:
压力性尿失禁;  盆底超声;  产后;  前腔室结构;  诊断价值
Keywords:
Stress urinary incontinence;  Pelvic floor ultrasound;  Postpartum;  Anterior compartment structure;  Diagnosis value
分类号:
R 711.59
DOI:
DOI:10.3969/j.issn.1000-7377.2022.12.017
文献标志码:
A
摘要:
目的:探究盆底超声测量前腔室结构参数对产后压力性尿失禁(SUI)的诊断价值。方法:选取分娩并进行产后复查的137例初产妇为研究对象,根据产后是否发生SUI分为SUI组(51例)和非SUI组(86例)。比较两组静息状态下和最大Valsalva状态下盆底超声前腔室结构参数。采用受试者工作特征(ROC)曲线评估盆底超声测量前腔室结构参数对产后SUI的诊断价值。结果:静息状态下,两组膀胱颈位置(BNP)、膀胱尿道后角(PUA)、尿道倾斜角(UTA)比较差异无统计学意义(均P>0.05)。最大Valsalva状态下,SUI组BNP、PUA大于非SUI组,UTA较非SUI组下移(均P<0.05)。SUI组胱颈移动度(BND)、膀胱尿道后角变化[R-A(PUA)]和尿道旋转角(URA)明显大于非SUI组(均P<0.05)。ROC曲线分析结果显示,盆底超声前腔室结构参数BND、R-A(PUA)、URA检测诊断产后SUI的曲线下面积(AUC)分别为0.771、0.734和0.758,均有一定的诊断价值(均P<0.05)。结论:产后SUI患者最大Valsalva状态下前腔室结构不稳定性增加。盆底超声测量前腔室结构参数对产后SUI具有一定的诊断价值,可用于临床产后SUI的筛查。
Abstract:
Objective:To explore the diagnostic value of pelvic floor ultrasound measurement of anterior chamber structural parameters in postpartum stress urinary incontinence(SUI).Methods:A total of 137 primiparous women who gave birth and underwent postpartum reexamination were selected as the research objects,and were divided into SUI group(51 cases)and non-SUI group(86 cases)according to whether SUI occurred after delivery.The anterior compartment structural parameters measured by pelvic floor ultrasound in resting state and the maximum Valsalva state were compared between the two groups.Receiver operating characteristic(ROC)curve was used to evaluate the diagnostic value of anterior chamber structure parameters measured by pelvic floor ultrasound in postpartum SUI.Results:There was no statistically significant difference in bladder neck position(BNP),posterior urethrovesical angle(PUA)and urethral tilt angle(UTA)in resting state between the two groups(all P>0.05).Under the maximum Valsalva state,BNP and PUA in SUI group were larger than those in non-SUI group,and UTA was lower than that in non-SUI group(all P<0.05).The bladder neck down distance(BND),changes in PUA [R-A(PUA)] and urethral rotation angle(URA)in SUI group were significantly greater than those in non-SUI group(all P<0.05).ROC curve analysis showed that the AUC of BND,R-A(PUA)and URA were 0.771,0.734 and 0.758,respectively,which had certain diagnostic value(all P<0.05).Conclusion:The structural instability of anterior compartment increases in the maximum Valsalva state in patients with postpartum SUI.Pelvic floor ultrasound measurement of anterior compartment structural parameters is helpful for diagnosing postpartum SUI,which can be used for clinical postpartum SUI screening.

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备注/Memo

备注/Memo:
基金项目:陕西省卫生健康科研基金资助项目(2018C013)
更新日期/Last Update: 2022-12-05