经会阴盆底二维超声联合脱垂定量分期用于顺产后POP患者SUI诊断的临床效能  

Clinical Efficacy of Transperineal Pelvic Floor Two-dimensional Ultrasound Combined with Quantitative Staging of Prolapse in the Diagnosis of SUI in Patients with POP after Vaginal Delivery

作　　者：王芳[1] 张文君[1] 汪华 WANG Fang;ZHANG Wenjun;WANG Hua(Taihe Hospital of Shiyan City Affiliated to Hubei Medical University,Shiyan 442000,China;不详)

机构地区：[1]湖北医药学院附属十堰市太和医院,湖北十堰442000

出　　处：《中外医学研究》2024年第15期72-75,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨经会阴盆底二维超声联合脱垂定量分期在顺产后盆腔器官脱垂(POP)患者压力性尿失禁(SUI)发生风险预测中的临床效能,为SUI发生高危人群早期识别及防治方案制定提供更多参考。方法:回顾性选择2021年1月—2023年1月于湖北医药学院附属十堰市太和医院就诊的160例顺产后POP患者,根据有无合并SUI分为SUI组(n=85)和非SUI组(n=75)。比较两组会阴盆底二维超声检查指标及脱垂定量分期法指标,描绘受试者工作特征(ROC)曲线分析经会阴盆底二维超声、脱垂定量分期指标单独及联合用于预测顺产后POP患者SUI发生的临床效能。结果:SUI组膀胱后壁最低点降低值、尿道旋转角、Aa和Ba均显著高于非SUI组,差异有统计学意义(P<0.05);ROC曲线结果显示,Aa、Ba、膀胱后壁最低点降低值及尿道旋转角联合预测顺产后POP患者SUI发生的曲线下面积(AUC)为0.89,高于四者单独预测的0.70、0.73、0.74、0.78。结论:经会阴盆底二维超声及脱垂定量分期均可用于顺产后POP患者SUI发生风险预测,同时两类指标联合检测具有更好的预测效能。Objective:To explore the clinical efficacy of transperineal pelvic floor two-dimensional ultrasound combined with quantitative staging of prolapse in predicting the risk of stress urinary incontinence(SUI)in patients with pelvic organ prolapse(POP)after vaginal delivery,and to provide more references for the early identification of high-risk groups of SUI and the development of prevention and treatment plans.Method:A total of 160 patients with POP after vaginal delivery admitted to Taihe Hospital of Shiyan City Affiliated to Hubei Medical University from January 2021 to January 2023 were retrospectively selected,and they were divided into SUI group(n=85)and non-SUI group(n=75)according to whether there was SUI.The indexes of two-dimensional ultrasound examination of perineal pelvic floor and quantitative staging of prolapse were compared between the two groups.Receiver operating characteristic(ROC)curve was described to analyze the clinical efficacy of transperineal pelvic floor two-dimensional ultrasound and quantitative staging indicators of prolapse in predicting SUI occurrence in POP patients after vaginal delivery alone and in combination.Result:The lowest point of posterior bladder wall,rotation angle of urethra,Aa and Ba in SUI group were significantly higher than those in non-SUI group,the differences were statistically significant(P<0.05).ROC curve results showed that the area under curve(AUC)predicted by Aa,Ba,the lowest point reduction value of the posterior bladder wall and urethra rotation angle was 0.89 in POP patients after vaginal delivery,which was higher than 0.70,0.73,0.74 and 0.78 predicted by the four separately.Conclusion:Both transperineal pelvic floor two-dimensional ultrasound and quantitative staging of prolapse can be used to predict the risk of SUI in POP patients after vaginal delivery,and the combined detection of two indexes has better predictive efficacy.

关 键 词：超声 脱垂定量分期法 顺产 盆腔器官脱垂 压力性尿失禁 

分 类 号：R711.5[医药卫生—妇产科学]