Ultrasound Evaluation of the Relationship between Changes in Pelvic Floor Structure and Stress Urinary Incontinence after Hysterectomy

doi:10.7517/issn.1674-0475.210203

Abstract

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

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.

References

[1] 王佳佳. 研究经会阴盆底超声在女性压力性尿失禁(SUI)诊断中的价值[J]. 影像研究与医学应用, 2020, 4(10):161-163.
[2] 鲁蓉, 张瑜, 戴芙蓉, 等. 经会阴盆底超声在女性压力性尿失禁诊断中的应用[J]. 中华医学杂志, 2018, 98(33):2675-2677.
[3] 杜燕, 沈美玉. 经会阴盆底超声在女性压力性尿失禁中的应用价值[J]. 安徽医学, 2020, 41(4):473-475.
[4] 罗丹, 陈玲, 余霞娟, 等. 基于整体理论采用会阴盆底超声探讨孕期压力性尿失禁发生机制的研究[J]. 中国全科医学, 2019, 22(36):4520-4525.
[5] 周文娟, 陈超, 王伟伟, 等. 盆底超声在产后早期压力性尿失禁中的运用与可行性[J]. 中国临床研究, 2018, 31(1):119-121.
[6] 谢幸, 苟文丽. 妇产科学[M]. 第8版. 北京:人民卫生出版社, 2013:13-15.
[7] Chen L, Luo D, Yu X J, et al. Predicting stress urinary incontinence during pregnancy:Combination of pelvic floor ultrasound parameters and clinical factors[J]. Acta Obstetricia et Gynecologica Scandinavica, 2018, 97(8):966-975.
[8] Viragh K A, Cohen S A, Raz S, et al. Translabial ultrasound in midurethral sling (mesh) visualization and erosion detection in women with stress urinary incontinence:a retrospective pilot study[J]. Ultrasound Quarterly, 2018, 34(4):238-244.
[9] Nunes E F C, Sampaio L M M, Biasotto-Gonzalez D A, et al. Biofeedback for pelvic floor muscle training in women with stress urinary incontinence:a systematic review with meta-analysis[J]. Physiotherapy, 2019, 105(1):10-23.
[10] 唐连, 刘萍, 陈春林. 动态MRI检查在盆底功能障碍性疾病诊断和治疗后随访中的应用进展[J]. 中华妇产科杂志, 2016, 51(9):714-717.
[11] 陈惠英, 许红雁. 盆底功能障碍性疾病的超声诊断进展[J]. 现代妇产科进展, 2014, 23(1):70-72.
[12] Tunn R, Petri E. Introital and transvaginal ultrasound as the main tool in the assessment of urogenital and pelvic floor dysfunction:an imaging panel and practical approach[J]. Ultrasound in Obstetrics and Gynecology, 2003, 22(2):205-213.
[13] Beer-Gabel M, Teshler M, Barzilai N, et al. Dynamic transperineal ultrasound in the diagnosis of pelvic floor disorders:pilot study[J]. Diseases of the Colon & Rectum, 2002, 45(2):239-248.
[14] Ying T, Li Q, Xu L, et al. Three-dimensional ultrasound appearance of pelvic floor in nulliparous women and pelvic organ prolapse women[J]. International Journal of Medical Sciences, 2012, 9(10):894-900.
[15] Fradet S, Morin M, Kruger J, et al. Pelvic floor morphometric differences in elderly women with or without urinary incontinence[J].Physiotherapy Canada, 2018, 70(1):49-56.
[16] Omodei M S, Marques Gomes Delmanto L R, Carvalho-Pessoa E, et al. Association between pelvic floor muscle strength and sexual function in postmenopausal women[J]. The Journal of Sexual Medicine, 2019, 16(12):1938-1946.
[17] Forsgren C, Olsson A, Amato M C, et al. The impact of robotic assisted total laparoscopic hysterectomy on pelvic floor function and sexual function[J]. Journal of Minimally Invasive Gynecology, 2018, 25(7):S162-S163.
[18] Karki G M S, Pradhan T, Deo A, et al. Prevalence of stress urinary incontinence after vaginal hysterectomy in eastern Nepal[J]. Birat Journal of Health Sciences, 2020, 5(2):1110-1114.