经会阴彩色超声检查在诊断压力性尿失禁和康复治疗后的评估价值  

The value of pelvic floor ultrasound in the diagnosis and rehabilitation of stress urinary incontinence

作　　者：樊丽丽 钟青玉 孟青[2] FAN Lili;ZHONG Qingyu;MENG Qing(Ultrasonic Department, Chengdu Aerospace Hospital, Chendu 610100, P.R.China;Ultrasonic Departmen, Dazhou integrated TCM & Western Medicine Hospital (Dazhou Second people's Hospital), Dazhou 635000, P.R.China)

机构地区：[1]成都航天医院超声科,四川成都610100 [2]四川省达州市中西医结合医院(达州市第二人民医院)超声科,四川达州635000

出　　处：《医学影像学杂志》2020年第5期819-821,829,共4页Journal of Medical Imaging

摘　　要：目的探讨盆底超声检查在诊断压力性尿失禁(stress urinary incontinence,SUI)和康复治疗后的评估价值。方法选取两院收治并接受治疗的SUI患者60例作为观察组,选择同期体检健康女性60例作为对照组,两组均行超声检查。结果治疗前,观察组患者的膀胱颈移动度(Mu)、尿道膀胱后角(Ar、As)、尿值转角(θ)、膀胱颈至耻骨联合下缘的距离(Br、Bs)水平均高于对照组,二者比较存在统计学差异;观察组出现尿道内口漏斗50例(83.33%),明显多于对照组的4例,二者比较存在统计学差异;康复治疗后,观察组患者的膀胱颈移动度(Mu)、尿道膀胱后角(Ar、As)、尿道旋转角(θ)、膀胱颈至耻骨联合下缘的距离(Br、Bs)明显低于治疗前,二者比较存在统计学差异。结论盆底超声检查对SUI疾病诊断和康复治疗后评估具有较高价值。Objective To evaluate the value of pelvic floor ultrasound in the diagnosis of stress urinary incontinence(stress urinary incontinence,SUI)and the rehabilitation effect.Methods 60 cases of SUI who were treated in two hospital from January 2016 to October 2019 were treated as observation group,and 60 cases of healthy women with physical examination were selected as control group.In the valsalva breath state,the bladder neck mobility(Mu),the posterior urinary bladder angle(Ar,As),the bladder neck rotation angle(bladder),the distance(Br,Bs)from the bladder neck to the pubic symphysis,and the rate of the intraurethral orifice formation were recorded in the two groups.After the rehabilitation treatment of the patients in the observation group,the pelvic floor ultrasound was performed again,and the curative effect of rehabilitation therapy was assessed.Results Before the treatment,the degree of bladder neck movement(Mu),the posterior angle of the urinary bladder(Ar,As),the angle of rotation of the bladder neck,the distance(Br,Bs)of the central point of the bladder neck to the pubic symphysis were higher than those of the control group,and there was a statistical difference between the two groups.In the observation group,there were 50 cases of intraurethral opening funnels,and there were more than 4 cases in the control group,and there was a statistical difference between them.After rehabilitation treatment,the movement of bladder neck in the posterior horn of urethra(Ar,As),the rotation angle of bladder neck(theta)and the distance from bladder neck to the midpoint of pubic symphysis(Br,Bs)were significantly lower than those before treatment.Conclusion Ultrasound examination of pelvic floor has high diagnostic value for SUI disease,and can also evaluate the clinical efficacy of patients after pelvic floor rehabilitation therapy,which is worth popularizing in the diagnosis and treatment of related diseases.

关 键 词：超声检查 压力性尿失禁 

分 类 号：R445.1[医药卫生—影像医学与核医学] R691[医药卫生—诊断学]