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三维超声在产后压力性尿失禁诊断中的应用价值

蒋吉鹏 王琨 肖莎 吴细香 唐缨

陕西医学杂志2012,Vol.41Issue(5):588-590,3.
陕西医学杂志2012,Vol.41Issue(5):588-590,3.

三维超声在产后压力性尿失禁诊断中的应用价值

Application value of three-dimensional ultrasound in diagnosis of postpartum women with stress urinary incontinence

蒋吉鹏 1王琨 1肖莎 2吴细香 1唐缨1

作者信息

  • 1. 天津第一中心医院超声科(天津,300192)
  • 2. 天津第一中心医院产科
  • 折叠

摘要

Abstract

Objective: To measure the size of pelvic diaphragm hiatus and thickness of pubovisccrai muscle inpostpartum women with stress urinary incontincncc(SUI) by transpcrincal three-dimensional (3D) ultrasound. Methods : 3D sonographic data from 43 postpartum women with SUI were analyzed, and 48 postpartum women without SUI were chosen as control group. The antcropostcrior diameter, transverse diameter and area of diaphragm hiatus were measured at rest, on Valsalva maneuver and maximum pelvic floor contraction, respectively. In addition, the thickness of pubovisccral muscle was measured at three maneuvers, respectively. Results: The antcropostcrior diameter and area of pelvic diaphragm hiatus in women with SUI were significantly increased than those in women without SUI at three maneuvers, respectively (P<C0. 05 or P<0. 01). The transverse diameter of diaphragm hiatus in SUI groups were significantly increased than those in control group on Valsalva maneuver. The pubovisccral muscle thickness in SUI group was significantly lower than that in control group on Valsalva maneuver and maximum pelvic floor contraction (P<C0. 05). Conclusion; The increased diameters of pelvic diaphragm hiatus and decreased thickness of pubovisccral muscle arc observed in postpartum SUI women than in those non SUI women. The pcrincal 3D ultrasound is an effective examination method in the postpartum SUI women.

关键词

尿失禁,压力性/超声检查/产褥期/三维超声

Key words

Urinary incontinence/ strcss/Ultrasonography/ Pucrpcrium/ @Three-dimensional ultrasound

分类

医药卫生

引用本文复制引用

蒋吉鹏,王琨,肖莎,吴细香,唐缨..三维超声在产后压力性尿失禁诊断中的应用价值[J].陕西医学杂志,2012,41(5):588-590,3.

陕西医学杂志

OACSTPCD

1000-7377

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