超声评价子宫切除术后患者盆底结构变化与压力性尿失禁的关系

doi:10.7517/issn.1674-0475.210203

摘要/Abstract

摘要： 文章探讨了经会阴盆底超声在评价压力性尿失禁患者子宫全切术后盆底结构变化。收集既往行子宫全切手术治疗的91例患者为病例组、100例健康女性作为对照组；采用会阴盆底超声分别对两组研究对象在静息状态、Valsalva状态下的盆底结构特征及变化参数进行检测；并根据病例组患者是否发生压力性尿失禁将患者进行分层分析。病例组患者静息状态、Valsalva状态下的膀胱尿道后角（β）测定值、尿道旋转角（Rα）值、膀胱颈下降距离（BND）值均大于对照组，且差异具有统计学意义（P<0.05）；病例组患者静息状态、Valsalva状态下的膀胱颈到耻骨联合下缘的距离（X）、直肠壶腹最低点距离耻骨联合下缘的距离（D）测定值低于对照组，差异具有统计学意义（P<0.05）；压力性尿失禁患者静息状态、Valsalva状态下的β测定值、Rα值、BND值均大于未发生压力性尿失禁的患者且两组之间差异具有统计学意义（P<0.05）；压力性尿失禁患者静息状态、Valsalva状态下的X、D测定值均小于未发生压力性尿失禁的患者且两组之间差异具有统计学意义（P<0.05）；Valsalva状态下尿道倾斜角（α）值，发生压力性尿失禁的患者大于未发生压力性尿失禁的患者，差异具有统计学意义（P<0.05）。与健康女性比较，子宫全切术女性盆底结构参数发生明显改变，发生压力性尿失禁的手术患者盆底结构改变更加显著，采用经会阴盆底超声能够较为准确地对盆底结构改变进行评估。

关键词: 会阴盆底超声, 压力性尿失禁, 子宫全切术, 盆底结构

Abstract: The use of transperineal pelvic floor ultrasound to evaluate the pelvic floor structure changes in patients with stress urinary incontinence after hysterectomy. Collect 91 patients who underwent total hysterectomy as the case group, and 100 healthy women as the control group. The perineal basin ultrasound was used to detect the pelvic floor structure characteristics and change parameters of the two groups of subjects in the resting state and the Valsalva state. And according to whether the patients in the case group suffer from stress urinary incontinence, the patients were stratified and analyzed. The β measured value, Rα value and BND value of patients in the resting state and Valsalva state of the case group were greater than those of the control group, and the difference was statistically significant (P<0.05). The X and D values of patients in the resting state and Valsalva state of the case group were lower than those of the control group, and the difference was statistically significant (P<0.05). In resting state and Valsalva state, the measured β, Rα and BND values of patients with stress urinary incontinence were greater than those of patients without stress urinary incontinence, and there was a significant difference between the two groups (P<0.05). The measured values of X and D were lower than those of patients without stress urinary incontinence and the difference was significant (P<0.05). In the Valsalva state, the α value of patients with stress urinary incontinence was greater than that of patients without stress urinary incontinence, and the difference was statistically significant (P<0.05). Compared with healthy women, the pelvic floor structure parameters of women undergoing total hysterectomy have changed significantly, and the pelvic floor structure changes in patients undergoing stress urinary incontinence are more significant. Transperineal pelvic floor ultrasound can more accurately evaluate the pelvic floor structure changes.

Key words: perineal pelvic floor ultrasound, stress urinary incontinence, total hysterectomy, pelvic floor structure

周慧丽, 米婉琴, 冯玉玲, 田丽, 向红. 超声评价子宫切除术后患者盆底结构变化与压力性尿失禁的关系[J]. 影像科学与光化学, 2021, 39(5): 773-777.

ZHOU Huili, MI Wanqin, FENG Yuling, TIAN Li, XIANG Hong. Ultrasound Evaluation of the Relationship between Changes in Pelvic Floor Structure and Stress Urinary Incontinence after Hysterectomy[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(5): 773-777.

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