四维盆底超声在电刺激联合生物反馈结合盆底肌锻炼治疗压力性尿失禁疗效评估中的价值

Value of four-dimensional pelvic floor ultrasound in evaluating the efficacy of electrical stimulation combined with biofeedback and pelvic floor muscle exercises to stress urinary incontinence

目的:探讨四维盆底超声在电刺激联合生物反馈盆底肌锻炼治疗压力性尿失禁(SUI)疗效评估中的价值。方法:选择60例SUI患者,电刺激联合生物反馈盆底肌锻炼3个月后分析治疗效果;并于治疗前后采用经会阴四维盆底超声记录患者肛提肌裂孔面积、裂孔左右径、肛提肌厚度、膀胱颈移动度、膀胱尿道后角及尿道内口漏斗形成率。结果:治疗后,肛提肌厚度较治疗前明显增厚(P<0.05),肛提肌裂孔左右径及面积较治疗前均明显减小(均P<0.05);膀胱颈移动度及膀胱尿道后角较治疗前均明显减小(均P<0.05);治疗前后尿道内口漏斗形成率分别为70.00%(42/60)、25.00%(15/60),治疗后尿道内口漏斗形成率明显降低(P<0.05)。结论:四维盆底超声在电刺激联合生物反馈盆底肌锻炼治疗SUI患者疗效评估中具有较好的临床价值。

Objective:To discuss the value of four-dimensional pelvic floor ultrasound in evaluating the efficacy of electrical stimulation combined with biofeedback and pelvic floor muscle exercises in the treatment of stress urinary incontinence(SUI).Methods:Sixty SUI patients were taken as research objects,and they were carried out electrical stimulation combined with biofeedback and pelvic floor muscle exercises for three months.The area and width of levator hiatus,levator ani muscle thickness,bladder neck mobility,bladder posterior urethra angle and urethra opening infundibulum formation rate were examined by perineal four-dimensional pelvic floor ultrasound before and after treatment.Results:After treatment,levator ani muscle thickness was significantly thickened and the area and width of levator hiatus were significantly decreased compared to those before treatment(all P<0.05).The bladder neck mobility,bladder posterior urethra angle were significantly decreased compared to those before treatment(both P<0.05).The urethra opening infundibulum formation rate was 70.00%(42/60)and 25.00%(15/60)before and after treatment,and the urethra opening infundibulum formation rate was significantly reduced after treatment(P<0.05).Conclusion:Four-dimensional pelvic floor ultrasound has good clinical value in evaluating the effects of electric stimulation combined with biofeedback and pelvic floor muscle exercises in patients with SUI.