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经会阴四维超声在女性压力性尿失禁诊断中的临床意义分析

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目的:探究经会阴四维超声在女性压力性尿失禁(SUI)诊断中的临床意义。方法:选取 2022 年 3 月至 2023 年 12 月本院收治的SUI患者 35 例为观察组,选取同期接受健康体检的正常女性 35 例为对照组,两组均接受经会阴四维超声检查,对比两组静息状态下膀胱尿道后角(PUA)、膀胱颈位置(BNP)、逼尿肌壁厚度(DWT),对比两组受检者在最大Valsalva状态下的PUA、BNP、肛提肌裂孔面积(LHA),计算并对比两组膀胱颈移动度(BND),对比两组膀胱膨出率和漏斗状尿道形成率。结果:两组在静息状态下PUA、BNP、DWT对比无显著统计差异(P>0。05);两组在最大Valsalva状态下的PUA、BNP、LHA、BND相比有显著统计差异(P<0。05);观察组的膀胱膨出率和漏斗状尿道形成率均高于对照组(P<0。05)。结论:经会阴四维超声能够完整评估SUI患者的盆底结构和功能状况,可通过超声参数联合分析提升诊断准确性,有着较高的临床应用价值。
Clinical significance of transperineal four-dimensional ultrasound in the diagnosis of female stress urinary incontinence
Objective:To explore the clinical significance of transperineal four-dimensional ultrasound in the diagnosis of female stress urinary incontinence(SUI).Methods:35 SUI patients admitted to our hospital from March 2022 to December 2023 were selected as the observation group,and 35 normal women were selected as the control group,the two groups were examined by perineal four-dimensional ultrasound,and the posterior angle of the bladder urethra(PUA),the position of the bladder neck(BNP)and the wall thickness of the detrusor(DWT)were compared between the two groups at rest,compared the PUA,BNP and levator ani hiatus area(LHA)of the two groups of subjects in the maximum Valsalva state,and calculated and compared the bladder neck mobility(BND)of the two groups,the rate of cystocele and the rate of funnel-shaped urethra formation were compared between the two groups.Results:two groups in the resting state of PUA,BNP,DWT contrast no difference(P>0.05);Two groups in the maximum Valsalva state of PUA,BNP,LHA,there was a significant difference in BND(P<0.05);The cystocele rate and funnel-shaped urethra formation rate in the observation group were higher than those in the control group(P<0.05).Conclusion:The perineal four-dimensional ultrasound can completely evaluate the pelvic floor structure and function of patients with SUI,and the diagnostic accuracy can be improved by the joint analysis of ultrasound parameters,which has high clinical application value.

Stress urinary incontinenceTransperineal four-dimensional ultrasoundClinical diagnosis

马萍萍、邹以每、杨春萍

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日照市中心医院彩超室,山东 日照 276800

日照市东港区妇幼保健计划生育服务中心彩超室,山东 日照 276800

压力性尿失禁 经会阴四维超声 临床诊断

2024

中外女性健康研究
武汉大学

中外女性健康研究

ISSN:2096-0417
年,卷(期):2024.(9)