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目的探讨经会阴二维超声在诊断女性压力性尿失禁(SUI)中的应用价值。方法应用经会阴二维超声测量37例女性SUI患者(SUI组)应力期(Valsalva动作后)膀胱颈移动度,并测量静息期和应力期近段功能尿道长度、尿道角及膀胱尿道后角等指标,结果与30例无SUI女性(对照组)比较。结果 SUI组膀胱颈移动度大于对照组(P<0.05);SUI组近段功能尿道长度在静息期与对照组比较差异无统计学意义,而在应力期小于对照组(P<0.05);SUI组静息期尿道角小于对照组,在应力期更小(均P<0.05);SUI组静息期膀胱尿道后角大于对照组,在应力期更大(均P<0.05)。结论经会阴二维超声可用于评估女性SUI患者的盆底功能,在诊断女性SUI上有重要价值。
Objective To investigate the value of transperineal two-dimensional ultrasonography in the diagnosis of female stress urinary incontinence (SUI). Methods The movement of bladder neck in 37 female SUI patients (SUI group) during stress period (after Valsalva operation) was measured by two-dimensional ultrasound of the perineum. The length of the urethra during the resting period and stress period, the urethra angle and the angle of the bladder urethra And other indicators, the results with 30 patients without SUI (control group) comparison. Results The mobility of the bladder neck in the SUI group was greater than that in the control group (P <0.05). The length of functional urethra in the SUI group was not significantly different from that of the control group at rest period, but lower than that of the control group at the stress period (P <0.05). In the SUI group, the urethral angle at rest was smaller than that in the control group, and was smaller at the stress (all P <0.05). The SUI group had greater angle of the bladder and urethra during the rest period than the control group (P <0.05). Conclusion Transpetropic two-dimensional ultrasound can be used to evaluate pelvic floor function in female SUI patients, which is of great value in diagnosing female SUI.