盆腔四维超声在顺产后压力性尿失禁预测研究  

Prediction of Stress Urinary Incontinence after Vaginal Delivery Using Four-Dimensional Pelvic Ultrasound

作　　者：温秀兰 Wen Xiulan(Ultrasound Room of Ningdu North Hospital,Ningdu Jiangxi 342800)

机构地区：[1]宁都城北医院彩超室,江西宁都342800

出　　处：《黑龙江医药》2024年第6期1287-1290,共4页Heilongjiang Medicine journal

基　　金：赣州市指导性科技计划项目(编号:GZ2023ZSF530)。

摘　　要：目的:研究盆腔四维超声在顺产后压力性尿失禁(SUI)中的预测价值。方法:选择2022年3月—2023年3月60例顺产产妇,进行盆腔四维超声检查,产后随访1年调查SUI发生情况,比较发生、未发生SUI产妇的盆腔四维超声检查结果[膀胱颈移动度(BND)、尿道旋转角(UR)、肛提肌裂孔面积(LHA)和膀胱初始容量(FS)、咳嗽时腹压漏尿点压力(CLPP)、强烈尿感容量(SD)],分析盆腔四维超声在顺产后SUI中的预测价值。结果:产后随访1年调查SUI发生情况,19例发生SUI,发生率为31.67%(19/60)。发生SUI的产妇产后LHA、UR、BDN高于未发生SUI的产妇,CLPP低于未发生SUI的产妇,差异有统计学意义(P<0.05);两组SD、FS比较差异无统计学意义(P>0.05)。绘制ROC曲线图,结果显示,孕20周时血清PP-13、AFP预测PE患者发生FGR的AUC分别为0.787、0.938、0.905、0.843,均有一定预测价值。结论:盆腔四维超声参数可以作为顺产后SUI的有效预测指标,有助于为临床早期开展诊治工作提供指导。Objective:To investigate the predictive value of four-dimensional pelvic ultrasound in stress urinary incontinence(SUI)after vaginal delivery.Methods:Sixty women who underwent vaginal delivery from March 2022 to March 2023 were selected for pelvic four-dimensional ultrasound examination.The incidence of SUI was investigated during a one-year postpartum follow-up.The results of pelvic four-dimensional ultrasound examination(BND),urethral rotation angle(UR),levator ani hiatus area(LHA),initial bladder capacity(FS),abdominal pressure leak point pressure(CLPP)during coughing,and strong urinary sensation volume(SD)were compared between women who experienced and did not experience SUI.The predictive value of pelvic four-dimensional ultrasound in SUI after vaginal delivery was analyzed.Results:After a one-year postpartum follow-up,the incidence of SUI was investigated,and 19 cases developed SUI,with an incidence rate of 31.67%(19/60).Postpartum LHA,UR,and BDN were higher in women with SUI than in women without SUI,and CLPP was lower in women without SUI,with statistically significant differences(P<0.05);There was no statistically significant difference in SD and FS between the two groups(P>0.05).Draw ROC curves,and the results show that the AUC of serum PP-13 and AFP predicting FGR in PE patients at 20 weeks of pregnancy are 0.787,0.938,0.905,and 0.843,respectively,all of which have certain predictive value.Conclusion:Pelvic four-dimensional ultrasound parameters can serve as effective predictive indicators for SUI after vaginal delivery,providing guidance for early clinical diagnosis and treatment.

关 键 词：压力性尿失禁 顺产 四维超声 盆腔 

分 类 号：R695.1[医药卫生—泌尿科学]