Clinical Efficacy of Transperineal Pelvic Floor Two-dimensional Ultrasound Combined with Quantitative Staging of Prolapse in the Diagnosis of SUI in Patients with POP after Vaginal Delivery
Objective:To explore the clinical efficacy of transperineal pelvic floor two-dimensional ultrasound combined with quantitative staging of prolapse in predicting the risk of stress urinary incontinence(SUI)in patients with pelvic organ prolapse(POP)after vaginal delivery,and to provide more references for the early identification of high-risk groups of SUI and the development of prevention and treatment plans.Method:A total of 160 patients with POP after vaginal delivery admitted to Taihe Hospital of Shiyan City Affiliated to Hubei Medical University from January 2021 to January 2023 were retrospectively selected,and they were divided into SUI group(n=85)and non-SUI group(n=75)according to whether there was SUI.The indexes of two-dimensional ultrasound examination of perineal pelvic floor and quantitative staging of prolapse were compared between the two groups.Receiver operating characteristic(ROC)curve was described to analyze the clinical efficacy of transperineal pelvic floor two-dimensional ultrasound and quantitative staging indicators of prolapse in predicting SUI occurrence in POP patients after vaginal delivery alone and in combination.Result:The lowest point of posterior bladder wall,rotation angle of urethra,Aa and Ba in SUI group were significantly higher than those in non-SUI group,the differences were statistically significant(P<0.05).ROC curve results showed that the area under curve(AUC)predicted by Aa,Ba,the lowest point reduction value of the posterior bladder wall and urethra rotation angle was 0.89 in POP patients after vaginal delivery,which was higher than 0.70,0.73,0.74 and 0.78 predicted by the four separately.Conclusion:Both transperineal pelvic floor two-dimensional ultrasound and quantitative staging of prolapse can be used to predict the risk of SUI in POP patients after vaginal delivery,and the combined detection of two indexes has better predictive efficacy.
UltrasoundQuantitative staging of prolapseVaginal deliveryPelvic organ prolapseStress urinary incontinence
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