盆底三维超声联合尿动力学检查在女性压力性尿失禁患者的应用体会

Application of pelvic floor three-dimensional ultrasound combined with urodynamics in female stress urinary incontinence

目的采用盆底三维超声联合尿动力学检查评估女性压力性尿失禁患者手术前后静息状态和最大Vasaval状态下超声尿动力学指标变化,探讨其应用价值。方法回顾性分析2017年1月至2019年12月对175例女性压力性尿失禁(SUI)患者,根据1小时尿垫试验结果分为四组:轻、中度、重度、极重度组。所有患者均予以行经闭孔尿道中段悬吊术(TOT),分析其术后效果。结果 TOT手术平均时间为17 min,未见不良并发症。结果显示:SUI患者BND增大,且随着其严重程度的增加,极重度组患者BND增加明显(P<0.01);手术前BND:3.04±0.89 cm,手术后1.09±0.72 cm(P<0.01),术后膀胱颈移动度明显减少。术后三个月测量耻骨联合至吊带中点的距离2.49±0.21(mm)。结论盆底三维超声联合尿动力学检查是评估女性尿失禁患者客观量化手段,值得进一步推广。

[Objective]To evaluate the significance of urodynamic testing associated with perineal ultrasonography in patients with stress urinary incontinence after trans vaginal tape obturator(TOT)procedure.Methods A retrospective analysis was performed on 175 female patients with stress urinary incontinence(SUI)from January 2017 to December 2019.According to the results of 1-hour pad test,they(TOT),and the postoperative results were analyzed.Results The symptoms and quality of life improved after three months.There were no serious complications postoperatively.The results showed that the bladder neck mobility was decreased compared with pre-operation or 3 months postoperatively.No significant differences were found in post-operative at 1 or 3 months.It is highly significant differences at(cm).Conclusions urodynamic testing associated with perineal sonography may.