压力性尿失禁女性患者盆底经会阴二维超声动态观察结果分析

Dynamic observation results analysis of pelvic floor in women with stress urinary incontinence by two-dimensional perineal ultrasound

目的探讨经会阴二维超声对压力性尿失禁女性患者盆底效果。方法选择2017年1~10月在我院诊断治疗的压力性尿失禁患者60例为研究对象,另选择同期健康体检者50例为对照组。均行经会阴二维超声盆底动态观察,比较两组相关指标。结果在静息状态下观察组X值显著高于对照组、∣Y∣值显著低于对照组,差异有统计学意义(P<0.05);观察组尿道弯曲处至横坐标距离小于对照组,差异显著(P<0.05);观察组尿道成角显著小于对照组(P<0.05)。在Valsalva时与缩肛时观察组X值显著高于对照组、∣Y∣值显著低于对照组,近段尿道长度较对照组短,差异有统计学意义(P<0.05);观察组尿道弯曲处至横坐标距离与对照组在相反的方向,数据比较差异显著(P<0.05);观察组尿道成角显著小于对照组(P<0.05)。结论压力性尿失禁患者会阴二维超声动态观察显示膀胱颈、尿道向后下方移,在Valsalva状态以及缩肛状态尿道缩短,在Valsalva状态下尿道口形成漏斗均与尿失禁有关。

Objective To investigate the effect of two-dimensional perineal ultrasound in pelvic floor in female patients with stress urinary incontinence. Methods 60 patients with stress urinary incontinence who were diagnosed and treated in our hospital from January to October 2017 were selected as the research objects. Another 50 healthy subjects in the same period were selected as the control group. All patients＇ pelvic floors were under dynamic observation by the perineal two-dimensional ultrasound. The related indicators between two groups were compared. Results In resting state, the value of X in the observation group was significantly higher than that in the control group, and the value of ｜Y｜ was significantly lower than that in the control group, with significant difference（P〈0.05）. The distance from the urethra bending to abscissa in the observation group was significantly smaller than that of the control group（P〈0.05）. The urethral angulation in the observation group was significantly smaller than that of the control group（P〈0.05）. In Valsalva and anal contraction state, the value of X in observation group was significantly higher than that in control group ,and the value of ｜Y｜ was significantly lower than that of the control group, and the length of the proximal urethra was shorter than that of the control group. The difference was statistically significant（P〈0.05）. The distance from urethral bending to the abscissa in the observation group was in the opposite direction of that of the control group, and the difference was significant（P〈0.05）. The urethra angulation of the observation group was significantly smaller than that of the control group（P〈0.05）. Conclusion The dynamic observation of the perineal two-dimensional ultrasound in patients with stress urinary incontinence shows that bladder neck and urethra move backward and downwards, and the urethra shortens in Valsalva and anal contraction state. It also shows that funnel change of urethra is related to urinary incontinence in Valsalva state.