经会阴盆底超声检查对宫颈癌患者腹腔镜广泛性子宫切除术后压力性尿失禁的预测价值  

Predictive value of transperineal pelvic floor ultrasonography on stress urinary incontinence after laparoscopic radical hysterectomy in patients with cervical cancer

作　　者：曹丽[1] 相泓冰[1] 尚晓敏[1] CAO Li;XIANG Hongbing;SHANG Xiaomin(Department of Ultrasound Imaging,Nanyang Central Hospital,Nanyang 473000,He’nan,China)

机构地区：[1]南阳市中心医院超声影像科,河南南阳473000

出　　处：《癌症进展》2025年第8期911-914,共4页Oncology Progress

摘　　要：目的目的探讨经会阴盆底超声检查对宫颈癌患者腹腔镜广泛性子宫切除术后压力性尿失禁(SUI)的预测价值。方法方法将94例行腹腔镜广泛性子宫切除术的宫颈癌患者根据术后随访6个月期间是否发生SUI分为SUI组与非SUI组,另选取30例健康女性作为健康组。比较3组受试者经会阴盆底超声检查指标及尿动力学指标;以临床诊断结果为金标准,对比经会阴盆底超声检查与尿动力学检查对SUI的预测效能。结果结果SUI组患者膀胱颈口移动度、膀胱颈下移距离、膀胱颈旋转角度及尿道旋转角度均大于非SUI组与健康组,非SUI组患者膀胱颈口移动度、膀胱颈下移距离、膀胱颈旋转角度及尿道旋转角度均大于健康组,差异均有统计学意义(P﹤0.05)。SUI组患者最大尿流率(MFR Qmax)、平均尿流率(AFR)、最大尿道闭合压(MUCP)及功能尿道长度(FUL)均低于非SUI组和健康组,逼尿肌压(Pdet)高于非SUI组和健康组,差异均有统计学意义(P﹤0.05)。经会阴盆底超声检查与尿动力学检查预测SUI的灵敏度、特异度、准确度、阳性预测值、阴性预测值比较,差异均无统计学意义(P﹥0.05)。结论结论宫颈癌患者腹腔镜广泛性子宫切除术后盆底功能减退,经会阴盆底超声检查便捷无创,对SUI的预测价值较高,与尿动力学检查效能相当。Objective To explore the predictive value of transperineal pelvic floor ultrasonography on stress urinary incontinence(SUI)in patients with cervical cancer after laparoscopic radical hysterectomy.Method Totally 94 patients with cervical cancer who underwent laparoscopic radical hysterectomy were divided into SUI group and non-SUI group according to whether SUI occurred during 6-month follow-up after surgery.Thirty healthy women were selected as the healthy group.The parameters of transperineal pelvic floor ultrasonography and urodynamic parameters were compared among the three groups.Taking clinical diagnosis as the gold standard,the predictive efficiency of transperineal pelvic floor ultrasonography and urodynamic examination for SUI was compared.Result The bladder neck movement,bladder neck downward movement distance,bladder neck rotation angle and urethral rotation angle in SUI group were greater than those in non-SUI group and healthy group,and the bladder neck movement,bladder neck downward movement dis-tance,bladder neck rotation angle and urethral rotation angle in non-SUI group were greater than those in healthy group,and the differences were statistically significant(P<0.05).The maximum flow rate(MFR Qmax),average flow rate(AFR),maximum urethral closure pressure(MUCP)and functional urethral length(FUL)in SUI group were lower than those in non-SUI group and healthy group,and the detrusor pressure(Pdet)was higher than those in non-SUI group and healthy group,and the differences were statistically significant(P<0.05).There were no statistical differences in the sensi-tivity,specificity,accuracy,positive predictive value and negative predictive value between transperineal pelvic floor ul-trasonography and urodynamic examination in the prediction of SUI(P>0.05).Conclusion After laparoscopic radical hysterectomy,the pelvic floor function of patients with cervical cancer declines.Transperineal pelvic floor ultrasonogra-phy is convenient and non-invasive,which has a high predictive value for SUI,and is comparabl

关 键 词：经会阴盆底超声检查 宫颈癌 腹腔镜 广泛性子宫切除术 压力性尿失禁 

分 类 号：R737.3[医药卫生—肿瘤]