| 郑志燕,徐伟,唐文成,等.盆底超声参数及孕产妇临床因素与产后压力性尿失禁的相关性[J].安徽医药,2025,29(4):716-720. |
| 盆底超声参数及孕产妇临床因素与产后压力性尿失禁的相关性 |
| The correlation between pelvic floor ultrasound parameters, clinical factors of pregnant women, and postpartum stress urinary incontinence |
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| DOI：10.3969/j.issn.1009-6469.2025.04.016 |
| 中文关键词: 尿失禁，压力性 盆底超声 产妇 盆底肌训练 膀胱颈移动度 盆底功能障碍 |
| 英文关键词: Urinary incontinence, stress Pelvic floor ultrasound Puerpera Pelvic floor muscle training Bladder neck mobili. ty Pelvic floor dysfunction |
| 基金项目:中华预防医学会科研资金支持项目( 201810033) |
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| 中文摘要: |
| 目的探索盆底三维超声参数、孕产妇临床因素与产后早期压力性尿失禁的相关性。方法选取 2022年 3月至 2023年 6月于滁州市第一人民医院进行产后 42 d盆底三维超声检查的 170例病人，均有完整的产前产时资料，其中，有压力性尿失禁症状的 76例作为研究组，无压力性尿失禁症状的 94例作为对照组，比较两组女性盆底超声参数和临床因素的不同，探索盆底超声参数、临床因素与产后早期压力性尿失禁的相关性。结果两组产后女性在受教育程度、孕中晚期盆底肌训练、产前身体质量指数( BMI)［27.00(25.59，28.12)kg/m2比 29.15(27.73，32.00)kg/m2］比较，差异有统计学意义( P<0.05)；在膀胱颈移动度［( 16.34±7.37)mm比( 28.87±6.21)mm］、尿道旋转角［( 36.79±14.18)°比( 53.01±9.89)°］、膀胱尿道后角［( 124.72±21.50)°比(145.34±15.46)°］、肛提肌裂孔面积［( 26.24±4.52)cm2比( 30.76±3.34)cm2］比较，差异有统计学意义( P<0.05)；通过 Spearman相关分析，孕中晚期盆底肌训练与尿失禁影响问卷评分( ICI-Q-SF)存在负相关性( r=.0.26，P<0.05)，产前 BMI、膀胱颈移动度、道旋转角、膀胱尿道后角与 ICI-Q-SF存在正相关性( r=0.72，P<0.001；r=0.45，P<0.001；r=0.64，P<0.001；r=0.30，P<0.05)。结论尿膀胱颈移动度、尿道旋转角、膀胱尿道后角与产后早期 SUI有一定的相关性，结合孕产妇临床因素，可指导临床制定合理的干预策略，评估预后，提高女性生活质量。 |
| 英文摘要: |
| Objective To explore the correlation between pelvic floor three-dimensional ultrasound parameters, clinical factors of pregnant women, and early postpartum stress urinary incontinence.Methods A total of 170 patients who underwent 42 day postpar. tum pelvic floor three-dimensional ultrasound examination at Chuzhou First People's Hospital from March 2022 to June 2023 were se.lected, all of whom had complete prenatal data. Among them, 76 patients with stress urinary incontinence symptoms were selected asthe study group, and 94 patients without stress urinary incontinence symptoms were selected as the control group. The differences inpelvic floor ultrasound parameters and clinical factors between the two groups of women were compared to explore the correlation be.tween pelvic floor ultrasound parameters, clinical factors, and early postpartum stress urinary incontinence; the difference was statisti.cally significant (P<0.05).Results There was a statistical difference between the two groups of postpartum women in terms of educa.tion level, pelvic floor muscle training in the middle and late stages of pregnancy, and prenatal BMI[27.00(25.59,28.12)kg/m2 vs. 29.15 (27.73,32.00)kg/m2] (P<0.05); there was a statistical difference in the mobility of the bladder neck[(16.34±7.37)mm vs. (28.87±6.21) mm], urethral rotation angle[(36.79±14.18)° vs. (53.01±9.89)° ], posterior angle of the bladder urethra[(124.72±21.50)° vs. (145.34± 15.46)°], and area of the levator ani muscle hiatus[(26.24±4.52) cm2 vs. (30.76±3.34) cm2] (P<0.05); through Spearman correlation anal. ysis, there was a negative correlation between pelvic floor muscle training and ICI-Q-SF in the middle and late stages of pregnancy (r= -0.26, P<0.05), while there was a positive correlation between prenatal BMI, bladder neck mobility, urethral rotation angle, and bladderurethral posterior angle and ICI-Q-SF (r=0.72, P<0.001; r=0.45, P<0.001; r=0.64, P<0.001; r=0.30, P<0.05).Conclusions There is a certain correlation between bladder neck mobility, urethral rotation angle, and bladder urethral posterior angle with early postpartumSUI. Combined with clinical factors of pregnant and postpartum women, it can guide clinical development of reasonable interventionstrategies, evaluate prognosis, and improve women's quality of life. |
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