盆底三维超声联合临床因素预测女性压力性尿失禁的临床研究  

Clinical study of pelvic floor three-dimensional ultrasound combined with clinical factors in predicting female stress urinary incontinence

作　　者：邱卓璇 邱洁[1] 吴春山[1] Qiu Zhuoxuan;Qiu Jie;Wu Chunshan(Department of Medical Technology,Chaozhou Central Hospital,Chaozhou 521000,China)

机构地区：[1]广东省潮州市中心医院医技科,广东潮州521000

出　　处：《实用妇科内分泌电子杂志》2022年第16期82-85,共4页Electronic Journal of Practical Gynecological Endocrinology

基　　金：潮州市卫生健康局科研项目(编号2021079)。

摘　　要：目的探讨经会阴实时三维超声联合临床因素预测女性压力性尿失禁(SUI)风险的可行性与准确性。方法本院门诊收治30例女性SUI患者为病例组,以同期30例接受超声检查并排除SUI和盆腔器官脱垂的健康女性为对照组。将所有女性按照2∶1划分为推导组和验证组,在推导组中对经会阴实时三维超声及临床因素中的可能影响因素进行分析,建立风险模型,之后在验证组中验证其预测SUI的准确性。结果BND、V-肛提肌裂孔面积及年龄在ROC曲线下的面积分别为0.554、0.733、0.609,明显高于其他盆底超声指标的ROC曲线结果,将截断值带入验证组中计算分析,结果与研究相似。多因素Logistic回归分析显示,BND、V-肛提肌裂孔面积、年龄是SUI的独立危险因素。结论盆底三维超声联合临床因素能够更准确地诊断与预测SUI,在此基础上指导患者进行早期盆底肌康复治疗,可预防尿失禁,提高患者生活质量,降低手术率和医疗成本。Objective To investigate the feasibility and accuracy of transperineal real-time three-dimensional ultrasound combined with clinical factors in predicting the risk of female stress urinary incontinence(SUI).Methods A total of 30 cases were reported in the outpatient department of our hospital,and 30 healthy women who underwent ultrasound examination and excluded SUI and pelvic organ prolapse were selected as the control group.All women were divided into the derivation group and the validation group according to 2∶1.The possible influencing factors of transperineal real-time three-dimensional ultrasound and clinical factors were analyzed in the derivation group to establish the risk model,and then the accuracy of predicting SUI was verified in the validation group.Results The area under the ROC curve of BND,V-levator ANI hiatus area and age were 0.554,0.733 and 0.609,respectively,which were significantly higher than the ROC curve results of other pelvic floor ultrasound indicators.The cut-offvalues were calculated and analyzed in the validation group,and the results were similar to those in the study.Multivariate Logistic regression analysis showed that BND,V-levator hiatus area and age were independent risk factors for SUI.Conclusion Pelvic floor three-dimensional ultrasound combined with clinical factors can more accurately diagnose and predict SUI.On this basis,it can guide patients to carry out early pelvic floor muscle rehabilitation therapy,prevent urinary incontinence,improve the quality of life of patients,reduce the operation rate and medical costs.

关 键 词：压力性尿失禁 三维彩超 盆底 

分 类 号：R711.59[医药卫生—妇产科学]