Prediction of Stress Urinary Incontinence after Vaginal Delivery Using Four-Dimensional Pelvic Ultrasound
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 in-vestigated,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.
万方数据
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