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  

Diagnostic value of pelvic flooRultrasound measurement of anterior chambeRstructural parameters in postpartum stress urinary incontinence

作　　者：王巧云[1] 任伟 WANG Qiaoyun;REN Wei(Department of Ultrasound,Affiliated Hospital of Yan’an University,Yan’an 716000,China)

机构地区：[1]延安大学附属医院超声科,陕西延安716000

出　　处：《陕西医学杂志》2022年第12期1540-1543,共4页Shaanxi Medical Journal

基　　金：陕西省卫生健康科研基金资助项目(2018C013)。

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。Objective:To explore the diagnostic value of pelvic flooRultrasound measurement of anterioRchambeRstructural 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 whetheRSUI occurred afteRdelivery.The anterioRcompartment structural parameters measured by pelvic flooRultrasound in resting state and the maximum Valsalva state were compared between the two groups.ReceiveRoperating characteristic(ROC)curve was used to evaluate the diagnostic value of anterioRchambeRstructure parameters measured by pelvic flooRultrasound in postpartum SUI.Results:There was no statistically significant difference in bladdeRneck position(BNP),posterioRurethrovesical angle(PUA)and urethral tilt angle(UTA)in resting state between the two groups(all P>0.05).UndeRthe maximum Valsalva state,BNP and PUA in SUI group were largeRthan those in non-SUI group,and UTA was loweRthan that in non-SUI group(all P<0.05).The bladdeRneck down distance(BND),changes in PUA[R-A(PUA)]and urethral rotation angle(URA)in SUI group were significantly greateRthan 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 anterioRcompartment increases in the maximum Valsalva state in patients with postpartum SUI.Pelvic flooRultrasound measurement of anterioRcompartment structural parameters is helpful foRdiagnosing postpartum SUI,which can be used foRclinical postpartum SUI screening.

关 键 词：压力性尿失禁 盆底超声 产后 前腔室结构 诊断价值 

分 类 号：R711.59[医药卫生—妇产科学]