产后压力性尿失禁患者盆底三维超声指标的变化  

Changes of pelvic floor three-dimensional ultrasound indicators in patients with postpartum stress urinary incontinence

作　　者：吴丽群 赵慧燕 高洁 姚锐 许群 WU Liqun;ZHAO Huiyan;GAO Jie;YAO Rui;XU Qun(Department of Obstetrics and Gynecology,Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou 325000,China)

机构地区：[1]温州市中西医结合医院妇产科,浙江温州325000

出　　处：《温州医科大学学报》2024年第6期465-470,共6页Journal of Wenzhou Medical University

基　　金：温州市基础性科研项目(Y20211140)。

摘　　要：目的:分析单胎初产压力性尿失禁(SUI)患者产后6~8周盆底三维超声相关指标的变化及危险因素。方法:选取2021年7月至2024年1月于温州市中西医结合医院收治的产后6~8周的初产妇96例,其中SUI 52例为观察组,非SUI 44例为对照组。对2组盆底三维超声指标进行比较,筛选有意义指标纳入Logistic回归分析。结果:观察组膀胱颈漏斗形成率、膀胱颈移动度(BND)、静息状态盆膈裂孔面积(LHA)和Valsalva状态LHA、LHA变化量(△LHA)、两种状态前后径(LH-L)和LH-L变化量(△LH-L)均高于对照组(P<0.05)。Logistic回归分析发现膀胱颈漏斗发生率(OR=10.714,95%CI=2.269~50.603,P=0.003)和△LH-L(OR=1.013,95%CI=0.897~1.145,P=0.031)是产后SUI发生的影响因素。结论:在单胎初产SUI患者中,膀胱颈漏斗形成、增大的△LH-L是产后SUI发生的危险因素。Objective:To investigate the changes and risk factors of pelvic floor three-dimensional ultrasound parameters in patients with postpartum stress urinary incontinence 6-8 weeks after delivery.Methods:A total of 96 cases of postpartum patients from Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from July 2021 to January 2024 were selected and assigned into two groups:observation group(52 cases)with stress urinary incontinence and control group(44 cases)without stress urinary incontinence.Threedimensional ultrasound indexes of pelvic floor were compared between two groups.Meaningful indicators were analyzed by logistic regression analysis.Results:The findings showed that the observation group was higher than the control group(P<0.05)in the bladder neck funnel formation rate,bladder neck descent(BND),levatorani hiatus area(LHA)under the state of being at rest,LHA under valsalva state,LHA variation(△LHA),levator hiatus length(LH-L)under two states and LH-L variation(△LH-L).Logistic regression analysis showed that the bladder neck funnel formation rate(OR=10.714,95%CI=2.269-50.603,P=0.003)and △LH-L(OR=1.013,95%CI=0.897-1.145,P=0.031)were influencing factors of SUI.Conclusion:In patients of singleton primipara with SUI,the formation of bladder neck funnel,increased △LH-L are risk factors for postpartum SUI.

关 键 词：压力性尿失禁 盆底三维超声 盆膈裂孔 膀胱颈漏斗 

分 类 号：R714[医药卫生—妇产科学]