Application of transperineal intelligent pelvic floor ultrasound in screening of postpartum stress urinary incontinence in women with pelvic floor dysfunction
Objective To explore the application value of transperineal smart pelvic ultra-sound in the screening of stress urinary incontinence(SUI)in women with pelvic floor dysfunction dis-ease(PFD).Methods The 90 cases of PFD women with postpartum SUI admitted to our hospital from January 2020 to August 2021 were selected as the research objects.According to the delivery method,they were divided into vaginal delivery group(42 cases)and cesarean section group(48 ca-ses).Forty-five healthy,married,non-pregnant individuals who were undergoing physical examina-tions in our hospital during the same period were selected as the control group.The length and area of the hiatus of levator anal muscle in the resting state,Vasalva action state and contraction state of leva-tor anal muscle were compared in the three groups of the two methods.The consistency of intelligent pelvic floor ultrasound and MRI with gold standard diagnosis was analyzed.The receiver operating characteristic(ROC)curve was used to evaluate the diagnostic efficiency of the two methods.Results In the resting state,Vasalva action state and anal levator contraction state,there were statistically sig-nificant differences in the length and area of anal levator hiatus among the three groups(all P＜0.05).The diagnostic accuracy of smart pelvic floor ultrasound and MRI was 95.56％and 93.33％,respectively.The sensitivity,specificity and area under ROC curve(AUC)of smart pelvic floor ultra-sound were 95.28％,64.76％and 0.827,respectively,which were significantly higher than those of MRI(89.72％,58.75％and 0.782)(all P＜0.05).Conclusions Both transperineal smart pelvic ultrasound and MRI can more accurately assess the occurrence of postpartum SUI in PFD women,but the former has higher diagnostic value.
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