盆底超声在产后早期压力性尿失禁中的应用

Application of Pelvic Floor Ultrasound in Early Postpartum Stress Urinary Incontinence

目的探讨超声对产后早期压力性尿失禁的诊断效果。方法抽取我院2016年5月—2018年5月收治的96例产后早期压力性尿失禁患者为研究对象,另设同一时间段在我院接受体检的96例健康群体为对照组,予以所有入组者盆底超声检查,比较对照组和观察组超声诊断结果。结果对照组膀胱颈移动度为(0.87±0.12)cm、尿道膀胱后角为(95.2±1.5)°,膀胱颈旋转角为(16.8±1.2)°,耻骨联合后下缘参考线到膀胱颈的距离为(2.68±0.42)cm,观察组膀胱颈移动度、尿道膀胱后角、膀胱颈旋转角和耻骨联合后下缘参考线到膀胱颈的距离分别为(1.59±0.18)cm、(118.5±2.7)°、(32.9±2.5)°和(3.72±0.32)cm,差异有统计学意义(P<0.05)。结论盆底超声检查即有利于区分健康人与产后压力行尿失禁患者,又为临床治疗奠定基础。

Objective To explore the diagnostic effect of ultrasound on early postpartum stress urinary incontinence. Methods From May 2016 to May 2018, 96 cases of early postpartum stress urinary incontinence patients were named as the research object, at the same time, 96 healthy people in our hospital were selected as control group. All subjects were examined by pelvic foor ultrasound, and the ultrasonic diagnosis results of the control group and the observation group were compared. Results In the control group, cystoscope for mobile degrees （0.87 ±0.87） cm, urinary bladder after angle （95.2±1.5） °, bladder neck rotation angle （16.8±1.2） °, pubic symphysis point to the bladder neck （2.68 ± 0.42） cm. In the observation group, the distance between the bladder neck mobility, the posterior urinary bladder angle, the bladder neck rotation angle and the reference line of the posterior inferior margin of the pubic symphysis was （1.59 ±0.18） cm, （118.5±2.7） °, （32.9 ±2.5） °and （3.72 ±0.32） cm, respectively. the diference was statistically signifcant （P 〈 0.05）. Conclusion Pelvic foor ultrasound can distinguish healthy people from postpartum patients with stress urinary incontinence and lay a foundation for clinical treatment.