三维容积超声联合二维超声对女性排尿障碍的诊断价值

Diagnostic Value of Three-Dimensional Volumetric Ultrasound Combined with Two-Dimensional Ultrasound in Female Voiding Disorders

【目的】探讨三维容积超声联合二维超声对女性排尿障碍的诊断价值。【方法】选取2021年3月至2022年10月在本院诊治的105例排尿障碍女性患者(观察组),另外选择同期在本院体检的105例健康女性作为对照组。所有入选者均给予三维容积超声联合二维超声检查,记录超声特征并判断其诊断价值。【结果】静息状态下,观察组二维超声检查指标膀胱逼尿肌厚度、膀胱尿道后角、尿道内口漏斗形成率均显著高于对照组(P<0.05)。静息状态下,观察组三维容积超声检查指标膀胱颈在X轴的位置(X1)、膀胱尿道后角(α1)值明显高于对照组(P<0.05),膀胱颈在Y轴的位置(Y1)、近段功能尿道长度(h1)值显著低于对照组(P<0.05)。受试者工作特征(ROC)曲线分析显示:二维超声、三维容积超声及两者联合诊断女性排尿障碍的曲线下面积分别为0.650、0.720、0.775。非条件Logistic回归分析显示:膀胱逼尿肌厚度、膀胱尿道后角、尿道内口漏斗形成率、X1、α1、Y1、h1均为女性发生排尿障碍的影响因素(P<0.05)。【结论】三维容积超声联合二维超声在女性排尿障碍诊断中具有较高的临床价值,值得临床推广应用。

【Objective】To explore the diagnostic value of three-dimensional volume ultrasound combined with two-dimensional ultrasound in female voiding disorders.【Methods】From March 2021 to October 2022,105 female patients with dysuria treated in our hospital were selected as the observation group,and 105 healthy women who underwent physical examination in our hospital were selected as the control group.All the candidates were given three-dimensional volumetric ultrasonography combined with two-dimensional ultrasonography to record the ultrasonic characteristics and determine the diagnostic value.【Results】In the resting state,the two-dimensional ultrasound examination indicators of bladder detrusor muscle thickness,the posterior Angle of bladder and urethra and internal urethral orifice funnel formation rate in the observation group were significantly higher than those in control group(P<0.05).In the resting state,the three-dimensional volume ultrasound examination indicators of the position of the bladder neck on the X-axis(X1)and the posterior angle of the bladder and urethra(α1)in the observation group were significantly higher than those in the control group(P<0.05).The position of the bladder neck on the Y axis(Y1)and the length of the proximal functional urethra(h1)in the observation group were significantly lower than those in the control group(P<0.05).ROC curve analysis showed that the maximum area under the curve of 2D ultrasound,3D volumetric ultrasound,and 3D volumetric ultrasound combined with 2D ultrasound for the diagnosis of female urinary disorder was 0.650,0.720 and 0.775,respectively.Unconditional logistic regression analysis showed that the thickness of bladder detrusor muscle,the posterior Angle of bladder and urethra,the rate of funnel formation,X1,α1,Y1 and h1 were all important factors affecting the occurrence of female voiding disorder(P<0.05).【Conclusion】Three-dimensional volumetry ultrasound combined with two-dimensional ultrasound has great potential,which is of great value in the diagnosis of female voiding disorders and worthy of promotion and application.