产后压力性尿失禁女性患者膀胱移动度超声变化特点及其诊断价值

摘要

目的：探究产后压力性尿失禁女性患者膀胱移动度超声变化的特点以及临床诊断价值。方法：选取2015年1-12月在笔者所在医院经超声诊断为产后压力性尿失禁，并接受盆底康复治疗的122例患者为研究对象，按照病情程度分为轻度组56例，中度组47例，重度组19例，回顾性分析其临床病历资料，对比观察三组患者治疗前后的膀胱颈活动度(BND)，评估治疗效果。结果：经过检测，治疗5、10次后，患者的膀胱移动度较治疗前均明显降低，比较差异均有统计学意义(P<0.05)；轻、中、重度组间的膀胱移动度值比较差异明显，且病情程度越轻，BND的值越小，差异均有统计学意义(P<0.05)。结论：采用经会阴超声膀胱移动度监测能够反映出产后压力性尿失禁的程度，为尽早发现与治疗提供一个有效的参考依据，具有一定的诊断价值，可以在临床医学中得以广泛的推广应用。%Objective:To explore the ultrasound characteristics and clinical value of the change of bladder mobility in female patients with postpartum stress urinary incontinence.Method:122 cases of patients diagnosed as postpartum stress urinary incontinence by pelvic ultrasonography and received the pelvic floor rehabilitation treatment in our hospital from January 2015 to December 2015 were selected as the research objects and retrospectively analyzed,they were divided into the mild group(56 cases),the moderate group(47 cases) and the severe group(19 cases) according to the states of their illness,the bladder neck mobility(BND) was observed and compared before and after treatment to evaluate the therapeutic effect.Result:After 5 times and 10 times of treatment,the BND of all patients were significantly decreased than before the treatment,the differences were statistically significant(P<0.05);The bladder neck mobility of the mild group,moderate group and severe group were significant different,the lighter condition,the less BND,the differences were statistically significant(P<0.05). Conclusion:The perineal ultrasound bladder mobile monitoring can reflect the degree of stress urinary incontinence after the production,providing an effective reference for early detection and treatment,it has certain diagnostic value and is worthy of widely application in clinical medicine.