盆底超声参数诊断产后压力性尿失禁及康复治疗疗效价值  

Value of the pelvic floor ultrasound parameters of parturients for diagnosing their postpartum stress urinary incontinence and for evaluating their rehabilitation therapy efficacy

作　　者：付正娟 陈静[1] FU Zhengjuan;CHEN Jing(Affiliated Hospital of Chengdu University,Chengdu,Sichuan Province,610000)

机构地区：[1]成都大学附属医院,610000

出　　处：《中国计划生育学杂志》2024年第9期2192-2196,2202,共6页Chinese Journal of Family Planning

基　　金：四川省医学青年创新科研课题计划(Q21031)。

摘　　要：目的:分析盆底超声参数对产后压力性尿失禁(PSUI)的诊断价值及评估运动康复治疗后疗效价值。方法:选取2020年7月-2023年7月本院妇科收治的PSUI产妇155例(PSUI组)及健康产妇155例(对照组),PSUI组施予凯格尔康复运动治疗,并依据训练是否有效分为有效组(n=123)与无效组(n=32)。采用盆底超声检查PSUI组治疗前与对照组、有效组与无效组治疗后盆底超声参数指标及尿道内口漏斗有否形成,采用多因素logistic回归分析康复治疗疗效影响因素,采用受试者工作特征曲线(ROC)分析膀胱相关参数指标评估PSUI疗效价值。结果:PSUI组治疗前盆底超声膀胱相关参数指标均高于对照组,尿道内口漏斗形成率高于对照组;PSUI组经凯格尔康复运动治疗后总有效率为79.4%,无效组治疗前盆底超声参数相关指标均高于有效组,尿道内口漏斗形成率高于有效组(均P<0.05)。经多因素logistic回归分析,盆底超声参数指标升高均是PSUI产妇接受凯格尔康复运动疗效的独立危险因素,ROC分析显示超声相关参数指标均对评估PSUI产妇凯格尔康复运动疗效有一定价值,曲线下面积0.683~0.790。结论:PSUI产妇盆底超声相关参数指标均异常升高,各超声参数指标在PSUI产妇康复治疗疗效评估中均有一定价值。Objective:To analyze the value of the pelvic floor ultrasound parameters of parturients for diagnosing their postpartum stress urinary incontinence(PSUI),and to evaluate the rehabilitation therapy efficacy of the parturients.Methods:155 parturients with PSUI(in group A)and 155 healthy parturients(in group B)in the department of reproductive and gynecology of the hospital were selected as the research subjects from July 2020 to July 2023.The parturients in group A were treated with Kegel rehabilitation exercise.According to whether the parturients with effectiveness after Kegel rehabilitation exercise or not,the parturients were divided into 123 parturients with effectiveness in group A1 and 32 parturients without effectiveness in group A2.Pelvic floor ultrasound examination was adopted to compare the various pelvic floor ultrasound parameters values and the internal urethral orifice funnel formation status of the parturients between group A and group B and between group A1 and group A2.Multivariate logistic regression was applied to analyze the influencing factors of the rehabilitation therapy efficacy.Receiver operating characteristic(ROC)curve was performed to analyze the evaluative efficacy of the bladder-related parameters of the parturients for their PSUI.Results:The values of the bladder related parameters evaluated by the pelvic floor ultrasound of the parturients before treatment in group A were significantly higher than those of the parturients in group B.The rate of the internal urethral orifice funnel formation of the parturients in group A was significantly higher than that of the parturients in group B.The total effective rate of the parturients in group A after Kegel rehabilitation exercise treatment was 79.4%.Before treatment,the values of the pelvic floor ultrasound parameters of the parturients in group A2were significantly higher than those of the parturients in group A1,and the rate of the internal urethral orifice funnel formation of the parturients in group A2 was significantly higher than th

关 键 词：产后压力性尿失禁 盆底超声参数 疾病诊断 康复治疗 疗效评估 

分 类 号：R493[医药卫生—康复医学] R445.1[医药卫生—临床医学] R714.6