| Objective: To explore the value of pelvic floor ultrasound comprehensive evaluation system in the evaluation of the curative effect of magnetoelectric combined treatment of postpartum stress urinary incontinence (SUI). Methods: 67 patients with postpartum SUI admitted to our hospital from October 2022 to October 2023 were selected, and all patients received magnetoelectric combined treatment.The efficacy, pelvic floor ultrasound parameters, pelvic floor muscle electromyographic values, quality of life and hand-measured pelvic floor muscle strength were observed before treatment, after the 10th and 20th treatments. Results: The total effective rate of patients with postpartum SUI after the 20th treatment was 89.55%, which was higher than 46.27% after the 10th treatment (P<0.05). Out of 67 patients with postpartum SUI, 16 had internal urethral orifice funnel formation. There was no significant difference in the bladder neck position in resting state (D1) of patients with postpartum SUI after the 10th and 20th treatments compared with before treatment (P>0.05), and the bladder neck position (D2) and bladder posterior wall position (D3) during the maximal Valsalva maneuver, bladder neck mobility (D4), bladder urethra posterior angle (RA), urethral rotation angle, levator hiatus area, puborectalis (PR) elongation rate, and the internal urethral orifice funnel length were significantly decreased compared with before treatment, and the decrease after the 20th treatment was greater than that after the 10th treatment (P<0.05). The PR shortening rate and the closed segment of the urethral length increased compared with those before treatment, and the increase 20th after treatment was greater than that 10th after treatment (P<0.05). The pelvic floor muscle electromyographic values in the fast twitch assessment phase, 10s slow twitch phase and 60s slow twitch phase after the 10th and 20th treatments were significantly increased compared with those before treatment, and the increase 20th after treatment was greater than that 10th after treatment (P<0.05). Compared with before treatment, the scores of Incontinence quality of life scale (I-QOL) were significantly increased after the 10th and 20th treatment, and the increase 20th after treatment was greater than that 10th after treatment (P<0.05). The International Consultation on Incontinence Questionnaire-Short Form (ICI-Q-SF) scores were significantly decreased, and the decrease 20th after treatment was greater than that 10th after treatment (P<0.05). After the 10th and the 20th treatments, the improvement of modified Oxford scale (MOS) grade of the hand-measured pelvic floor muscle strength was better than that before treatment, and the improvement 20th after treatment was better than that 10th after treatment (P<0.05). Conclusion: The pelvic floor ultrasound comprehensive evaluation system can effectively evaluate the efficacy of magnetoelectric combined treatment for postpartum SUI. Magnetoelectric combined treatment can promote the recovery of pelvic floor anatomy and function and improve the quality of life of patients with postpartum SUI. |
