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目的探讨超声评估产后压力性尿失禁(SUI)患者尿道不同分段的移动度变化及参数特点。方法选取2012年5月-2015年5月在该院诊断为产后SUI的34例患者作为研究组,并选取同期于该院正常分娩且身体健康的34例女性作为对照组。将女性尿道以耻骨联合为中心分成6段,采用经阴道超声观察两组女性尿道不同分段的移动度变化及参数特点,进行对比分析。结果研究组患者尿道中段的U-2、U-3、U-4处的移动度较对照组明显增加,差异有统计学意义(P<0.05);两组女性其他3处尿道的移动度比较差异无统计学意义(P>0.05);研究组患者在张力期及缩肛期的膀胱颈移动度、膀胱旋转角度均大于对照组,差异有统计学意义(P<0.05)。结论采用经阴道超声在孕妇妊娠期间对上述指标进行定期的监测,操作简单方便,对人体无伤害,并且可以对产后SUI患者做到早期诊断及治疗,改变患者预后。
Objective To evaluate the changes in the mobility and parameters of different segments of the urethra in patients with postpartum stress urinary incontinence (SUI). Methods Thirty-four patients diagnosed as postpartum SUI in our hospital from May 2012 to May 2015 were selected as the study group, and 34 healthy women who were delivered normal in the same hospital during the same period were selected as the control group. The female urethra was divided into 6 segments centered on the pubic symphysis. The changes of the mobility of the different segments of the urethra in the two groups were analyzed by transvaginal ultrasound and the characteristics of the parameters were compared and analyzed. Results The mobility of U-2, U-3 and U-4 in the middle urethra of the study group was significantly higher than that of the control group (P <0.05). The mobility of the other three urethra in the two groups was compared There was no significant difference between the two groups (P> 0.05). In the study group, the degree of bladder neck movement and the angle of bladder rotation in tension and anus were significantly higher than those in control group (P <0.05). Conclusions Transvaginal ultrasonography is used to monitor the above indicators regularly during pregnancy. It is simple and convenient to operate, does not harm the human body, and can make early diagnosis and treatment of postpartum SUI patients and change their prognosis.