盆底超声对女性盆底功能障碍性疾病的评估效果及在SUI诊断中的应用分析  

Study on the relationship between female stress urinary incontinence and pelvic floor structural function by pelvic floor ultrasound

作　　者：周莹[1] 黄弋庭 周凯[1] ZHOU Ying;HUANG Yiting;ZHOU Kai(Department of Ultrasound,Yangzhou Maternal and Child Care Service Centre,Yangzhou,Jiangsu 225002,China)

机构地区：[1]扬州市妇幼保健院超声科,江苏扬州225000

出　　处：《影像研究与医学应用》2023年第2期47-49,53,共4页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨盆底超声在女性压力尿失禁(SUI)中的应用。方法:选取2018年1月—2022年10月在扬州市妇幼保健院治疗的SUI患者104例作为观察组,同时选取无SUI经产妇100例作为对照组,均经会阴部探查的方式行盆底超声检查,观察两组静息状态和Valsalva状态下的盆底超声检查参数。结果:静息状态下,观察组膀胱逼尿肌厚度、膀胱尿道后角(PVA)和尿道内口漏斗形成率分别为(5.70±1.02)mm、(124.46±12.46)°和18.27%,明显高于对照组(P<0.05),而膀胱颈与耻骨联合的垂直距离(BN-S)为(21.03±2.16)mm,明显低于对照组(P<0.05);Valsalva动作下,观察组RVA、尿道旋转角度(UR)、膀胱颈移动度(BND)和尿道内口漏斗形成率分别为(154.41±21.41)°、(85.12±21.41)°、(32.40±5.46)mm和61.54%,明显高于对照组(P<0.05),而BN-S为(-8.10±1.54)mm,明显低于对照组(P<0.05)。结论:经盆底超声可观察SUI患者盆底结构,其相关参数在评估SUI中有一定指导意义,膀胱颈“漏斗”形成是SUI的重要指征。Objective To investigate the application of pelvic floor ultrasound in female stress urinary incontinence(SUI).Methods 104 cases of SUI patients treated in our hospital from January 2018 to October 2022 were selected as the observation group,and 100 cases without SUI were selected as the control group,the pelvic floor parameters were observed in two groups at resting state and Valsalva state by two dimensional ultrasound of pelvic floor.Results Under resting state,the bladder detrusor thickness,posterior urethra vesical angle(PVA)and incidence of urethra funnel formation in he observation group were(5.70±1.02)mm,(124.46±12.46)°and 18.27%,were significantly higher than those in the control group(P<0.05),and the vertical distance between the bladder neck and symphysis pubis were(BN-S)were(21.03±2.16)mm,were significantly lower than those in the control group(P<0.05);Under Valsalva state,the RVA,urethral rotation angle(UR),bladder neck moving distance(BND)and urethral funnel formation rate in the observation group were(154.41±21.41)%,(85.12±21.41)%,(32.40±5.46)mm and 61.54%,were significantly higher than those in the control group(P<0.05)and,BN-S was(-8.10±1.54)mm,were significantly lower than that in the control group(P<0.05).Conclusion Pelvic floor ultrasound can be used to observe the pelvic floor structure of SUI patients,and its related parameters have some guiding significance in the evaluation of SUI,the formation of the funnel of the bladder neck is an important indication of SUI.

关 键 词：盆底超声 女性压力尿失禁 盆底结构 

分 类 号：R445.1[医药卫生—影像医学与核医学]