盆底超声与MRI检查对产后压力性尿失禁的诊断价值的对比研究  

Comparative study on the Diagnostic Value of Pelvic Floor Ultrasound and MRI in Postpartum Stress Urinary Incontinence

作　　者：李国芳[1] 孙新党 曹青峰[1] 史景璐[1] LI Guo-fang;SUN Xin-dang;CAO Qing-feng;SHI Jing-lu(Department of Ultrasound Medicine,Zhengzhou People's Hospital,Zhengzhou 450003,Henan Province,China)

机构地区：[1]郑州人民医院超声医学科,河南郑州450003

出　　处：《罕少疾病杂志》2024年第6期87-88,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的 对比盆底超声、MRI检查在产后SUI诊断中的临床应用价值。方法 选取本院2020年6月至2022年6月收治的106例产后压力性尿失禁(SUI)患者的临床资料。所有患者均行MRI检查与盆底超声检查。记录患者两种影像学检查不同状态下的LHA、RVA、UIA。Valsalva状态下测量BND;Valsalva状态下和静息状态下测量尿道旋转角(URA)。观察患者尿道内口漏斗形成情况,并对比MRI、盆底超声对产后SUI的检出率。结果 MRI检查静息状态、Valsalva状态下LHA、RVA及UIA均显著高于盆底超声检查(P<0.05)。Valsalva状态下,MRI检查SUI患者URA、BND均显著高于盆底超声(P<0.05)。MRI检查对SUI的检出率为98.11%,盆底超声对SUI的检出率为94.34%,两组比较无显著差异(P>0.05)。MRI检测尿道内口漏斗形成率为60.38%,比于盆底超声低(77.36%)(P<0.05)。结论 相对MRI检查,盆底超声可提高尿道管腔内漏斗形成的检出率,但在MRI检查在产后早期的盆腔结构变化中的优势更突出,MRI检查可作补充检查手段。Objective To compare and analyze the clinical application value of pelvic floor ultrasound and MRI in postpartum SUI diagnosis.MethodsThe clinical data of 106 patients with postpartum stress urinary incontinence(SUI)admitted to our hospital from June 2020 to June 2022 were selected.MRI and pelvic floor ultrasound were performed in all patients.LHA,RVA,and UIA were recorded under different states of the two imaging examinations.Measurement of BND in Valsalva state;Urethral rotation Angle(URA)was measured in Valsalva state and resting state.The formation of infundibular orifice of urethra was observed,and the detection rate of postpartum SUI was compared with MRI and pelvic floor ultrasound.ResultsLHA,RVA and UIA in resting state and Valsalva state were significantly higher than those in pelvic floor ultrasonography(P<0.05).In Valsalva state,the URA and BND of SUI patients examined by MRI were significantly higher than those examined by pelvic floor ultrasound(P<0.05).The detection rate of MRI for SUI was 98.11%,and that of pelvic floor ultrasound for SUI was 94.34%,with no significant difference between the two groups(P>0.05).The rate of funnel formation in urethral orifice detected by MRI was 60.38%,which was significantly lower than that detected by pelvic floor ultrasound(77.36%)(P<0.05).ConclusionCompared with MRI,pelvic floor ultrasound can improve the detection rate of urethral infundibulum formation,but MRI has more prominent advantages in detecting the changes of pelvic structure in the early postpartum period.MRI can be used as a supplementary examination method.

关 键 词：压力性尿失禁 磁共振成像 盆底超声 产妇 

分 类 号：R694.54[医药卫生—泌尿科学] R445.2[医药卫生—外科学]