盆腔超声监测联合量表评分对膀胱水扩张治疗间质性膀胱炎的临床疗效评价  

Evaluation of clinical efficacy of pelvic ultrasound monitoring combined with scale scoring in the treatment of interstitial cystitis with hydrodistention

作　　者：张菲 穆靓[2] 孙羿[1] 刘莉[2] 陈娟[1] ZHANG Fei;MU Liang;SUN Yi;LIU Li;CHEN Juan(Department of Urology,People's Hospital of Shaanxi Province,Xi'an,710068,China;Ultrasound Medicine Department,People's Hospital of Shaanxi Province)

机构地区：[1]陕西省人民医院泌尿病院,西安710068 [2]陕西省人民医院超声诊断中心

出　　处：《临床泌尿外科杂志》2024年第2期102-106,共5页Journal of Clinical Urology

摘　　要：目的:评价盆腔超声监测联合各类量表评分对膀胱水扩张术治疗间质性膀胱炎的临床疗效。方法:选取2019年6月—2023年6月于陕西省人民医院行膀胱水扩张术的间质性膀胱炎患者共34例,比较术前及术后3个月24h排尿频次、夜尿频次、平均尿量及盆腔超声测量膀胱最大充盈容量、排尿后膀胱壁厚度、残余尿变化及术前和术后3个月O’Leary-Sant间质性膀胱炎评分—症状评分(ICSI)、O’Leary-Sant间质性膀胱炎指数—问题评分(ICPI)、盆腔症状评分(PUF)、疼痛视觉模拟评分(VAS)、焦虑自评量表(SAS)等变化。结果:在实施膀胱水扩张术后盆腔超声测量膀胱最大充盈容量较术前明显增加,且差异有统计学意义(P<0.05);术后膀胱处于空虚状态下超声测量的膀胱壁厚度较术前变薄,差异有统计学意义(P<0.05);充盈状态下治疗前后膀胱壁厚度变化差异无统计学意义(P>0.05)。术后3个月ICSI、ICPI、PUF、VAS、SAS等评分均较术前明显下降,且差异均有统计学意义(P<0.05)。结论:盆腔超声监测膀胱最大充盈容量联合各类量表评分对间质性膀胱炎行膀胱水扩张术后疗效随访中有较好的指导意义。Objective:To explore the clinical efficacy of pelvic ultrasound combined with various scales in the treatment of interstitial cystitis with bladder hydrodistention.Methods:A total of 34 patients with interstitial cystitis who underwent bladder hydrodistention in our hospital from June 2019 to June 2023 were selected.The preoperative and postoperative 24-hour urination frequency,nocturia frequency,average urine volume,and maximum filling bladder volume measured by pelvic ultrasound at 3 months,as well as the bladder wall thickness,residual urine changes,and the O'Leary-Sant interstitial cystitis symptom index(ICSI),O'Leary-Sant interstitial cystitis problem index(ICPI),pelvic pain and urgency/frequency(PUF),and pain visual analogue score(VAS),self-rating anxiety scale(SAS)before and after surgery were compared.Results:After implementing bladder hydrodistention,the maximum filling capacity of the bladder measured by pelvic ultrasound was significantly increased compared to before surgery,and the difference was statistically significant(P<0.05);The thickness of the bladder wall measured by ultrasound in an empty state after surgery has become thinner than before,and the difference is statistically significant(P<0.05);There was no statistically significant difference(P>0.05)in the thickness of the bladder wall before and after treatment in a filled state.The postoperative scores at 3 months of ICSI,ICPI,PUF,VAS,SAS,etc.were significantly lower than before,and the differences were statistically significant(P<0.05).Conclusion:Pelvic ultrasound monitoring of maximum bladder capacity combined with various scales has good guiding significance for preoperative diagnosis and postoperative follow-up of interstitial cystitis.

关 键 词：间质性膀胱炎 超声监测 水扩张治疗 量表评分 

分 类 号：R694[医药卫生—泌尿科学]