女性盆底功能障碍性疾病相关因素及盆底超声测定SUI的临床意义

Related factors of female pelvic floor dysfunction disease and clinical significance of ultrasound in detection of SUI

目的:探讨女性盆底功能障碍性疾病(PFD)的相关因素及盆底超声测定压力性尿失禁(SUI)的临床意义。方法:采用随机原则对就诊于石河子大学医学院第一附属医院妇科门诊的342例妇女行问卷调查及POP-Q评估,并分析其相关因素。其中接受盆底超声检查的有254例妇女,分为SUI组(176例)和对照组(78例),分析两组盆底超声检查指标的变化。结果:SUI组膀胱颈角度(静息状态与最大Valsalva动作)、膀胱旋转角度及膀胱颈移动度高于对照组,差异有统计学意义(P<0.05)。两组逼尿肌厚度比较差异无统计学意义(P>0.05)。Logistic回归分析显示:SUI的发生与分娩方式、体重指数(BMI)及新生儿出生体重等因素有关,与年龄、绝经、孕期BMI增加及会阴侧切等因素无关。结论:PFD与分娩方式、BMI、新生儿体重等因素有关,盆底超声在PFD的诊断中具有重要的临床意义。

Objective： To explore the related factors of female pelvic floor dysfunction （PFD） disease and clinical significance of ultrasound in detection of stress urinary incontinence （ SUI ） . Methods ： According to random principle, questionnaire investigation and POP - Q assessment were conducted in 342 women from gynecological outpatient of the hospital, and the related factors were analyzed ; 254 women undergoing pelvic uhrasonography were divided into SUI group （176 women） and control group （78 women） ; the changes of pelvic ultrasonic indexes in the two groups were analyzed. Results： Bladder neck angle （resting state and the largest Valsalva action） , bladder ro- tation angle and bladder neck mobility in SUI group were statistically significantly higher than those in control group （ P 〈 0. 05 ） . There was no statistically significant difference in the thickness of detrusor between the two groups （P 〉 0. 05） . Logistic regression analysis showed that SUI was correlated with delivery modes, BMI and neonatal birth weight, but it was not related to age, menopause, body weight gain dur- ing pregnancy and episiotomy. Conclusion： PFD is correlated with delivery modes, BMI and neonatal birth weight; pelvic ultrasonography has important clinical significance in diagnosis of PFD.