盆底超声测量对女性压力性尿失禁的应用  

Application of pelvic ultrasound measurements in female stress urinary incontinence

作　　者：袁文琳[1] 

机构地区：[1]广州医科大学附属第三医院超声医学科,510150

出　　处：《实用医学杂志》2017年第8期1328-1330,共3页The Journal of Practical Medicine

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P<0.001),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。Objective To investigate the value of Pelvic Floor ultrasound in diagnosis of female Stress urinary incontinence （SUI）. Methods Pelvic floor ultrasound were performed in a total of 200 cases of female. Among 55 patients with SUI by clinical were selected as the study group, 145 without SUI as the control group. Bladder neck descent （BND） , posterior urethrovesical angle （PUVA） in Valsalva state, urethral rotation angle （URA） and levator hiatus area （LHA）in Valsalva state were measured to assess the value in diagnosing SUI. Results There were significant difference in BND. PUVA＆LHA in Valsalva state, URA between two groups （all P 〈 0.01 ）. AUC of 4 data combined is 0.98. Conclusion Measuring BND, PUVA＆LHA in Valsalva state, URA by pelvic floor ultrasound have high diagnostic value in female SUI.

关 键 词：压力性尿失禁 盆底 肛提肌裂孔 超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.59[医药卫生—诊断学]