经会阴超声检查压力性尿失禁的临床应用价值

目的探讨经会阴超声检查评价女性压力性尿失禁(SUI)的临床价值。方法根据中华医学会妇产科学分会SUI的诊断标准,选取75例SUI患者作为观察组,另选择同一时间纳入的非SUI患者40例作为对照组,分别实施经会阴超声检查,观察两组检查结果,比较各组超声检查测量值(α、θ、Mu、X)、膀胱逼尿肌厚度(DWT)、Valsalva时膀胱颈移动度(BND)以及尿道长度。结果观察组α、θ、Mu、X均高出对照组(P<0.05);轻度α、θ、Mu、X均低于中度、重度(P<0.05);两组DWT、尿道长度比较无显著差异(P>0.05),但观察组BND高出对照组(P<0.05)。结论经会阴超声检查在评价SUI中效果突出,能够对患者病情严重程度进行判断,同时能够清楚展现患者盆底结构组织,值得推广。

Application value of transperineal ultrasound in the evaluation of female stress urinary incontinence

Objective To analyze the value of transperineal ultrasound in the evaluation of female stress urinary incontinence(SUI).Methods 75 SUI patients included in our hospital from April 2019 to June 2021 were selected as the study group,and 40 non SUI patients included at the same time were selected as the control group.Complete data of all patients were collected and counted,perineal ultrasonography was performed respectively,the examination results of the two groups were observed,and the ultrasonic measurements of each group were compared(α,θ,Mu,X),detrusor thickness(DWT),bladder neck descent(BND)at valsalva and urethral length.Resultsα,θ,Mu and X in study group were higher than those in the control group(P<0.05).α,θ,Mu and X in I degree were lower than II degree and III degree(P<0.05).There was no significant difference in DWT and urethral length between the two groups(P>0.05),but BND in the study group was higher than that in the control group(P<0.05).Conclusion Transperineal ultrasound has a prominent effect in the evaluation of SUI.It can judge the severity of the patient's condition and clearly show the structure and tissue of the patient's pelvic floor.It is worth popularizing.