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目的探讨三维超声在女性压力性尿失禁治疗中的应用。方法应用经会阴三维超声技术,测量18例女性压力性尿失禁患者手术前后盆底结构影像学数据,评估膀胱颈活动度、膀胱尿道后角、肛提肌裂孔面积、肛提肌厚度指标。结果手术后患者膀胱活动度、膀胱尿道后角及肛提肌裂孔面积均小于手术前,差异有统计学意义(P<0.05);肛提肌厚度手术前后比较无统计学意义。结论三维超声可用于评估张压力性尿失禁患者治疗后恢复状态,对女性盆底解剖和功能的评价客观。
Objective To investigate the application of three-dimensional ultrasound in the treatment of female stress urinary incontinence. Methods The pelvic floor imaging data of 18 female stress urinary incontinence patients before and after operation were measured and the bladder neck urethra angle, Results The postoperative urinary bladder activity, urinary bladder urethral angle and levator ani muscle hiatus area were all less than those before operation (P <0.05). There was no significant difference in the thickness of levator ani muscle before and after operation. Conclusion Three-dimensional ultrasound can be used to evaluate the recovery status of tension urinary incontinence patients after treatment. The evaluation of pelvic floor anatomy and function is objective.