智能盆底超声联合多平面成像评估产后压力性尿失禁及盆腔器官脱垂研究  

Application of intelligent pelvic floor ultrasound combined with multi-planar imaging in the assessment of postpartum SUI and POP

作　　者：柯霓 刘佳[1] 胡智安[1] 解育新 俞磊[1] KE Ni;LIU Jia;HU Zhi-an(Department of Ultrasound Imaging,Huangshi Central Hospital of Edong Medical Group,Huangshi 435000,China;不详)

机构地区：[1]鄂东医疗集团黄石市中心医院超声影像科,湖北黄石435000

出　　处：《中国医学装备》2023年第12期100-104,共5页China Medical Equipment

基　　金：湖北省卫生健康委员会联合基金项目(WJ2019H179)“智能盆底超声联合多平面成像技术在不同产次泌尿生殖裂孔中的应用”。

摘　　要：目的:探讨智能盆底超声联合多平面成像在产后压力性尿失禁(SUI)及盆腔器官脱垂(POP)评估中的应用。方法:选取在医院分娩并自愿行超声盆底功能检查的516例产妇,根据临床诊断结果将其分为SUI组(55例)、POP组(187例)和正常组(274例),观察比较3组产妇的静息状态和最大Valsalva动作下的膀胱颈距离(BSD)、膀胱尿道后角(PUVA)、尿道倾斜角(UTA)及膀胱颈移动度(BND)等超声参数,以及智能盆底超声联合多平面成像评估SUI及POP的准确性。结果:静息状态下SUI组与正常组比较,BSD、PUVA均明显较低,UTA明显较高,差异有统计学意义(t=2.008,t=2.012,t=2.392;P<0.05);最大Valsalva动作下SUI组与正常组比较,BSD、PUVA均明显较低,UTA明显较高,差异有统计学意义(t=2.265,t=9.144,t=3.728;P<0.05);SUI组BND明显高于正常组,差异有统计学意义(t=11.861,P<0.05)。静息状态下POP组与正常组比较,BSD、PUVA均明显较低,UTA明显较高,差异有统计学意义(t=2.139,t=3.179,t=2.817;P<0.05);最大Valsalva动作下POP组与正常组比较,BSD、PUVA均明显较低,UTA明显较高,差异有统计学意义(t=3.748,t=12.293,t=4.396;P<0.05);POP组BND明显高于正常组,差异有统计学意义(t=20.855,P<0.05)。智能盆底超声联合多平面成像评估SUI的准确率、灵敏度及特异度分别为97.87%、94.44%和98.55%,评估POP的准确率、灵敏度及特异度分别为97.61%、97.31%和97.82%,经Kappa一致性检验,其评估SUI与POP的临床诊断结果的一致性极强(Kappa=0.923,Kappa=0.950;P<0.05)。结论:智能盆底超声联合多平面成像可通过智能评估产妇的盆底结构和功能变化有效的诊断产后SUI及POP,具有良好临床应用价值。Objective:To explore the application of intelligent pelvic floor ultrasound combined with multi-planar imaging in the assessment of postpartum stress urinary incontinence(SUI)and pelvic organ prolapse(POP).Methods:A total of 516 delivery women who delivered in hospital and underwent voluntarily pelvic floor ultrasound were retrospectively selected.They were divided into SUI group(55 cases),POP group(187 cases)and normal group(274 cases)according to the results of clinical diagnosis.The resting state and a series of ultrasound parameters included bladder neck symphyseal distance(BSD),posterior urethrovesical angle(PUVA),urethral tilt angle(UTA)and bladder neck descent(BND)under the maximum Valsalva action among three groups were observed and compared.In addition,the accuracy of intelligent pelvic floor ultrasound combined with multi-planar imaging in assessing SUI and POP among three groups also were observed and compared.Results:Under the resting state,the BSD and PUVA of the SUI group were respectively lower than those of the normal group,and UTA of SUI group was higher than that of the normal group,and the differences were statistical significance(t=2.008,t=2.012,t=2.392,P<0.05).Under the maximum Valsalva action,the BSD and PUVA of the SUI group were respectively lower than those of the normal group,and UTA of the SUI group was higher than that of the normal group,and the differences were statistical significance(t=2.265,t=9.144,t=3.728,P<0.05),and the BND of the SUI group was significantly higher than that of the normal group(t=11.861,P<0.05).Under the resting state,the BSD and PUVA of the POP group were respectively lower than those of the normal group,and UTA of the POP group was significantly higher than that of the normal group(t=2.139,t=3.179,t=2.817,P<0.05),and the differences were statistical significance.Under the maximum Valsalva action,the BSD and PUVA of the POP group were respectively lower than those of the normal group,and the UTA of the POP group was significantly higher than that of the normal

关 键 词：智能盆底超声 多平面成像 产后 压力性尿失禁(SUI) 盆腔器官脱垂(POP) 评估 

分 类 号：R445.1[医药卫生—影像医学与核医学]