盆底超声在产后早期压力性尿失禁中的应用效果

Effectiveness of Pelvic Floor Ultrasound in Early Postpartum Stress Urinary Incontinence

目的:探讨盆底超声在产后早期压力性尿失禁中的应用效果。方法:选取2021年3月-2022年12月普宁市妇幼保健院收治的产后早期压力性尿失禁患者80例作为观察组;选取同时期来院体检的未生育女性80例作为对照组,均采用盆底超声检查,分析观察组压力性尿失禁的诊出概率、两组患者尿道内口漏斗形成率及各项超声指标等情况。结果:观察组压力性尿失禁检出率97.50%(39/40),漏诊率2.50%(1/40);观察组尿道内口漏斗形成率高于对照组观察组,差异有统计学意义(P<0.05);观察组不同膀胱容量下下膀胱颈移动度(Mu)、膀胱颈至耻骨联合中点的距离(Br、Bs),尿道膀胱后角(Ar、As)、膀胱颈旋转角(θ)比较,差异无统计学意义(P>0.05);膀胱容量300 mL时,观察组Mu、Br、Bs、Ar、As、θ水平高于对照组,差异有统计学意义(P<0.05)。结论:盆底超声对于膀胱容量300 mL的产后早期压力性尿失禁患者评估效果较好,整体诊出率较高。

Objective:To investigate the effect of pelvic floor ultrasound in early postpartum stress urinary incontinence.Methods:Eighty patients with early postpartum stress urinary incontinence admitted to Puning Maternal and Child Health Hospital from March 2021 to December 2022 were selected as the observation group.Eighty cases of infertile women who came to the hospital for physical examination in the same period were selected as the control group.Ultrasound examination of the pelvic floor was used to analyze the probability of diagnosis of stress urinary incontinence in the observation group,the rate of endourethral funnel formation and the ultrasound indexes in both groups.Results:The detection rate of stress urinary incontinence in the observation group was 97.50%(39/40),and the leakage rate was 2.50%(1/40).The rate of endourethral leakage formation in the observation group was higher than that in the control observation group,and the difference was statistically significant(P<0.05).The differences were not statistically significant(P>0.05)when comparing the lower bladder neck mobility(Mu),the distance from the bladder neck to the midpoint of the pubic symphysis(Br,Bs),the posterior angle of the urinary bladder(Ar,As),and the rotation angle of the bladder neck(θ)in the observation group with different bladder volumes.The levels of Mu,Br,Bs,Ar,As,andθwere higher in the observation group than in the control group at a bladder volume of 300 mL,and the differences were statistically significant(P<0.05).Conclusion:Pelvic floor ultrasound is more effective in assessing patients with early postpartum stress urinary incontinence with a bladder volume of 300 mL,and the overall diagnosis rate is higher.