三维超声技术对于评估压力性尿失禁女性患者盆底肌肉收缩及膀胱颈活动度的价值研究  

The Value of Three-Dimensional Ultrasonography in the Evaluation of Pelvic Floor Muscle Contraction and Bladder Neck Activity in Female Patients with Stress Urinary Incontinence

作　　者：李维梅 白文坤[1] 李雯[1] 陈宇[1] 来金玉 师琳 LI Wei-mei;BAI Wen-kun;LI Wen;CHEN Yu;LAI Jin-yu;SHI Lin(Department of Ultrasonic Medicine,Shanghai 6th People's Hospital,Shanghai,201306,China)

机构地区：[1]上海市第六人民医院超声医学科,上海201306

出　　处：《现代生物医学进展》2022年第6期1048-1051,1042,共5页Progress in Modern Biomedicine

基　　金：国家科技部重点研发计划项目(2021YFC2009101);上海市浦东新区科委民生专项课题(PKJ2021-Y51)。

摘　　要：目的:探讨三维超声技术对于评估压力性尿失禁(SUI)女性患者盆底肌肉收缩及膀胱颈活动度的价值。方法:选取2020年1月至2021年8月本院的收治的因产后SUI的女性患者60例作为观察组,另选择同期产后正常的女性受试者60例作为对照组,所有受试者均行经会阴三维超声检查。比较两组之间盆底肌肉收缩及膀胱颈活动度等相关指标的差异。结果:在静息状态和最大Valsalva状态下,观察组中盆膈裂孔前后径、左右径、肛提肌裂孔面积以及膀胱颈后角均显著大于对照组(P<0.05),观察组尿道长度显著低于对照组(P<0.05);而仅在最大Valsalva状态下,观察组的膀胱颈位置显著低于对照组(P<0.05);此外观察组膀胱漏斗化所占比例显著高于对照组(P<0.05)。结论:三维超声技术可以清晰直观地显示女性盆底组织结构和功能,对于评估SUI女性患者盆底肌肉收缩及膀胱颈活动度具有一定的诊断价值,并为临床提供真实客观的影像学证据。Objective:To explore the value of three-dimensional ultrasound technology in assessing pelvic floor muscle contraction and bladder neck mobility in female patients with stress urinary incontinence(SUI).Methods:60 female patients with postpartum SUI admitted to our hospital from January 2020 to August 2021 were selected as the observation group,and 60 female subjects with normal postpartum during the same period were selected as the control group.All subjects underwent perineal three-dimensional ultrasound examine.The differences in related indexes such as pelvic floor muscle contraction and bladder neck mobility between the two groups were compared.Results:In the resting state and the maximum Valsalva state,the anterior and posterior diameter,the left and right diameters of the pelvic diaphragm hiatus,the area of the levator ani muscle and the posterior angle of the bladder neck in the observation group were significantly larger than those in the control group(P<0.05).The length of the urethra in the observation group was significantly lower than that in the control group(P<0.05);and only in the maximum Valsalva state,the bladder neck position of the observation group was significantly larger than that of the control group(P<0.05).In addition,the proportion of bladder funnelization in the observation group was significantly higher(P<0.05).Conclusion:Three-dimensional ultrasound technology can clearly and intuitively display the structure and function of the female pelvic floor.It has certain diagnostic value for assessing the pelvic floor muscle contraction and bladder neck mobility in female patients with SUI,and provides true and objective imaging evidence for the clinic.

关 键 词：三维超声 压力性尿失禁 盆底肌肉 膀胱颈活动度 诊断价值 

分 类 号：R694.54[医药卫生—泌尿科学] R711.5[医药卫生—外科学]