摘要
目的探讨膀胱颈位置和移动度诊断女性产后早期轻度压力性尿失禁(SUI)的价值。方法将96例产后早期轻度SUI患者作为SUI组,以35例产后无SUI妇女为对照组。应用盆底超声检查两组研究对象的膀胱颈情况,比较两组静息状态及最大Valsalva动作下的膀胱颈位置,计算膀胱颈移动度。评估膀胱颈位置和膀胱颈移动度诊断轻度SUI的价值。结果最大Valsalva动作下,SUI组膀胱颈与参考线间的距离短于对照组(P <0. 05),膀胱颈移动度大于对照组(P <0. 05)。最大Valsalva动作下的膀胱颈位置和膀胱颈移动度诊断轻度SUI的受试者工作特征曲线下面积分别为0. 899、0. 960,截断值分别为4. 1 mm、20. 9 mm时,灵敏度分别为78. 1%、90. 6%,特异度分别为97. 1%,94. 3%。结论最大Valsalva动作下膀胱颈位置和膀胱颈移动度对产后早期轻度SUI具有较高的诊断价值。
Objective To explore the diagnostic value of bladder neck position and mobility for mild stress urinary incontinence(SUI)in early postpartum women.Methods Ninety-six early postpartum patients with mild SUI were enrolled as SUI group,and35postpartum women without SUI as control group.Pelvic ultrasound was performed in all subjects of the two groups to examine their bladder necks,the positions of bladder neck in resting state and during the maximum Valsalva maneuver were compared between the two groups,the mobility of bladder neck was calculated.And the diagnostic value of bladder neck position and bladder neck mobility for mild SUI was evaluated.Results During the maximum Valsalva maneuver,the distance between bladder neck and reference line in the SUI group was shorter than that in the control group(P<0.05),and the mobility of bladder neck in the SUI group was greater than that in the control group(P<0.05).During the maximum Valsalva maneuver,the areas under the receiver operating characteristic curve of position and mobility of bladder neck for diagnosing mild SUI were0.899and0.960respectively,the sensitivities were78.1%and90.6%respectively,the specificities were97.1%and94.3%respectively,with the cut-off values of4.1mm and20.9mm respectively.Conclusion During the maximum Valsalva maneuver,bladder neck position and bladder neck mobility have a fairly high diagnostic value for mild SUI in early postpartum women.
作者
成平
王丹
吴雅菲
李鸣凤
韦芳
CHENG Ping;WANG Dan;WU Ya-fei;LI Ming-feng;WEI Fang(Department of Ultrasound,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China)
出处
《广西医学》
CAS
2018年第21期2552-2554,共3页
Guangxi Medical Journal
基金
广西中医药大学第一附属医院青年科学基金(2016QN025)
