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Received:July 25, 2022 Published Online:March 20, 2023
Received:July 25, 2022 Published Online:March 20, 2023
中文摘要: 目的 探讨经会阴盆底超声参数对压力性尿失禁患者康复训练效果的评估。方法 选取2019年6月至2021年6月常州市第一人民医院和徐州市中心医院收治的48例产后压力性尿失禁患者作为观察组,另选取同时期产后无压力性尿失禁患者48例作为对照组,比较两组患者一般资料;分析并比较观察组患者康复治疗前、后及其与对照组之间盆底超声参数变化。结果 观察组患者康复治疗前静息状态与Valsalva动作后的盆膈裂孔面积(LHA)、膀胱尿道后角(RA)均显著高于康复治疗后和对照组,而膀胱颈至耻骨联合后下缘的垂直距离(BSD)均显著低于康复治疗后和对照组(P<0.05);观察组康复治疗后静息状态和Valsalva动作后的LHA、RA、BSD与对照组比较,差异无统计学意义(P>0.05)。结论 盆底超声参数能有效反映不同动作下压力性尿失禁患者盆底结构的变化并能有效评估患者康复训练效果。
Abstract:Objective To investigate the evaluation of the effect of rehabilitation training on patients with stress urinary incontinence by transperineal pelvic floor ultrasound parameters.Methods A total of 48 patients with postpartum stress urinary incontinence admitted at the First Hospital of Changzhou and Xuzhou Central Hospital from June 2019 to June 2021 were selected as the observation group, and 48 patients with postpartum stress urinary incontinence at the same time were selected as the control group. The general data of the two groups were compared, the changes of pelvic floor ultrasound parameters of the observation group before and after rehabilitation treatment and between the observation group and the control group were analyzed and compared. Results The area of pelvic diaphragm hiatus (LHA) and posterior angle of bladder and urethra (RA) of patients in the observation group before rehabilitation treatment and after Valsalva action were significantly higher than those in the rehabilitation 〖JP2〗treatment and the control group, while the vertical distance (BSD) from the bladder neck to the posterior lower edge of the pubic symphysis was significantly lower than those in the rehabilitation treatment and the control group (P<0.05). Compared with the control group, there was no significant difference in the LHA, RA and BSD of the observation group after rehabilitation treatment and Valsalva action (P>0.05). Conclusion Pelvic floor ultrasound parameters can effectively reflect the changes of pelvic floor structure in patients with stress urinary incontinence under different actions and can effectively evaluate the effect of rehabilitation training.
keywords: 2D 3D Ultrasonic examination Stress urinary incontinence Pelvic floor Pelvic floor dysfunction
文章编号: 中图分类号:R711.59 R694.+54 文献标志码:B
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