Evaluation of clinical efficacy of pelvic ultrasound monitoring combined with scale scoring in the treatment of interstitial cystitis with hydrodistention
Objective:To explore the clinical efficacy of pelvic ultrasound combined with various scales in the treatment of interstitial cystitis with bladder hydrodistention.Methods:A total of 34 patients with interstitial cys-titis who underwent bladder hydrodistention in our hospital from June 2019 to June 2023 were selected.The pre-operative and postoperative 24-hour urination frequency,nocturia frequency,average urine volume,and maximum filling bladder volume measured by pelvic ultrasound at 3 months,as well as the bladder wall thickness,residual urine changes,and the O'Leary-Sant interstitial cystitis symptom index(ICSI),O'Leary-Sant interstitial cystitis problem index(ICPI),pelvic pain and urgency/frequency(PUF),and pain visual analogue score(VAS),self-rating anxiety scale(SAS)before and after surgery were compared.Results:After implementing bladder hydro-distention,the maximum filling capacity of the bladder measured by pelvic ultrasound was significantly increased compared to before surgery,and the difference was statistically significant(P＜0.05);The thickness of the blad-der wall measured by ultrasound in an empty state after surgery has become thinner than before,and the differ-ence is statistically significant(P＜0.05);There was no statistically significant difference(P＞0.05)in the thick-ness of the bladder wall before and after treatment in a filled state.The postoperative scores at 3 months of ICSI,ICPI,PUF,VAS,SAS,etc.were significantly lower than before,and the differences were statistically signifi-cant(P＜0.05).Conclusion:Pelvic ultrasound monitoring of maximum bladder capacity combined with various scales has good guiding significance for preoperative diagnosis and postoperative follow-up of interstitial cystitis.
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