盆底超声检测产后压力性尿失禁患者肛提肌损伤的回顾性分析

目的 通过盆底三维超声检查探索女性分娩后压力性尿失禁与肛提肌损伤的相关性 方法 选取符合纳入排出标准的产后压力性尿失禁患者、产后单纯前盆腔器官脱垂（anterior-pelvic organ prolapsed, POP）及产后盆底正常女性患者，采用盆底三维超声联合TUI技术检查测量静息状态下及Valsalva动作后三组患者肛提肌裂孔的前后径、横径及肛提肌裂孔面积，观察肛提肌裂孔及周边肌肉形态，并对各项指标进行统计学分析 结果 产后压力性尿失禁患者在静息状态下肛提肌裂孔前后径、横径相较于两组对照差异不明显，但valsalva动作后尤其是前后径差异明显变大；压力性尿失禁患者无论在静息状态和valsalva动作后，肛提肌裂孔面积相较其他两组都有明显的变大。应用TUI观察，压力性尿失禁患者发生肛提肌撕裂的比例相较其他两组增加 结论 肛提肌损伤、肛提肌裂孔面积的改变与压力性尿失禁的发生有明确的相关性

Retrospective analysis of levator trauma in Stress Urinary Incontinence after delivery detected with pelvic floor ultrasound

[Abstract] Objective To explore the correlation between SUI after delivery and levator trauma with 3D pelvic ultrasound. Methods Patients suffered from SUI after delivery, the POP patients and the normal ones that meet standards were selected to test anteroposterior diameter, transverse diameter and areas of levator, also to observe morphology of levator and muscles around it with 3D pelvic ultrasound combined TUI under quiescent condition and after Valsalva movement, then analyse statistically with these data. Results patients suffered from SUI have no significant difference in anteroposterior diameter and transverse diameter under quiescent condition compared to the other two groups, but significantly changed after Valsalva movement. The areas of levator are obviously bigger in group of patients suffered from SUI than the other two groups no matter under quiescent condition or after Valsalva movements. Also, the ratio of levator laceration is higher in SUI group than the other two groups when Observed With TUI. Conclusions The areas changes and laceration of levator have explicitly correlated to occurrence of SUI.