GE Voluson E8盆底超声在产后早期压力性尿失禁中的应用

Application of GE Voluson E8 Pelvic Floor Ultrasound in Early Postpartum Stress Urinary Incontinence

目的:分析盆底超声诊断产后早期压力性尿失禁的应用效果。方法:以本院2020年6月~2022年6月分娩的86例产妇为研究对象,其中确诊产后早期压力性尿失禁患者为观察组(n=46),无压力性尿失禁产妇为对照组(n=40),均采用盆底超声检查,检查Valsalva动作与静息状态下指标,记录两组尿道内口漏斗形成率,分析盆底超声诊断的敏感度、特异性及准确度。结果:观察组各项指标均高于对照组(P<0.05);观察组尿道内口漏斗形成率高于对照组(P<0.05);盆底超声检查的敏感度、特异性及准确度分别为91.30%、85.00%、88.37%。结论:盆底超声诊断的效果确切,可清晰探查产妇尿道、膀胱及盆腔等情况,为产后早期压力性尿失禁疾病诊断提高可靠依据,有助于后续治疗方案的拟定,从而改善其预后。

Objective:To analyze the application effect of pelvic floor ultrasound in the diagnosis of early postpartum stress urinary incontinence.Methods:A total of 86 parturients who delivered in our hospital from June 2020 to June 2022 were selected as the research objects,including patients diagnosed with early postpartum stress urinary incontinence as the observation group(n=46)and those without stress urinary incontinence as the control group(n=40).Pelvic floor ultrasound was used to check Valsalva action and resting state indicators.The rate of infundibulum formation was recorded,and the sensitivity,specificity and accuracy of pelvic floor ultrasound diagnosis were analyzed.Results:The indexes of the observation group were higher than those of the control group(P<0.05).The formation rate of infundibulum in the urethral orifice of the observation group was higher than that of the control group(P<0.05).The sensitivity,specificity and accuracy of pelvic floor ultrasound were 91.30%,85.00%and 88.37%,respectively.Conclusion:Pelvic floor ultrasound has a definite effect on the diagnosis of maternal urethra,bladder and pelvic cavity,which can improve the reliable basis for the diagnosis of early postpartum stress urinary incontinence,help to formulate follow-up treatment plan,and thus improve its prognosis.