| 徐 蓉,吴迎春,王蔚蔚,陈正森,徐 卓,田 慧.探讨女性盆底功能障碍性疾病的相关因素及盆底超声测定压力性尿失禁SUI的临床意义[J].现代生物医学进展英文版,2022,(1):113-117. |
| 探讨女性盆底功能障碍性疾病的相关因素及盆底超声测定压力性尿失禁SUI的临床意义 |
| Objective to Investigate the Related Factors of Female Pelvic Floor Dysfunction and the Clinical Significance of Pelvic Floor Ultrasound in Measuring SUI |
| Received:March 27, 2021 Revised:April 23, 2021 |
| DOI：10.13241/j.cnki.pmb.2022.01.020 |
| 中文关键词: 女性盆底功能障碍性疾病 相关因素 盆底超声 压力性尿失禁 回归分析 |
| 英文关键词: Female pelvic floor dysfunction Related factors Pelvic floor ultrasound Stress urinary incontinence Regression analysis |
| 基金项目:国家自然科学基金青年基金项目（81900615） |
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| 中文摘要: |
| 摘要 目的：探讨女性盆底功能障碍性疾病的相关因素及盆底超声测定压力性尿失禁SUI的临床意义。方法：选取我院2019年-2020年共收治的63例盆底功能障碍性疾病患者作为研究对象，将其分为研究组，另取同期来我院进行体检的63例健康女性作为对照组，对所有女性应用盆底超声检测，对比两组女性静息状态下和Valsalva状态下的盆底超声检查指标，对通过问卷调查方式，调查两组女性的一般临床治疗，对于女性盆底功能障碍性疾病的相关因素进行单因素分析与多因素分析，最终得出盆底肌功能障碍性疾病的相关因素。结果：在静息状态下通过盆底超声发现，研究组与对照组膀胱尿道后角、肛提肌裂孔面积、尿道倾斜度对比差异显著（P＜0.05），两组女性膀胱颈位置、膀胱位置对比无明显差异（P＞0.05）；在Valsalva状态下通过盆底超声发现，研究组与对照组膀胱尿道后角、肛提肌裂孔面积、尿道倾斜度、膀胱颈位置、膀胱位置对比差异显著（P＜0.05）；两组女性年龄、BMI、孕次、产次、绝经情况以及白带清洁度是否≥III度情况对比差异显著（P＜0.05），两组女性子宫肌瘤史情况对比无显著差异（P＞0.05）；logistic回归分析结果显示，年龄、绝经情况、子宫肌瘤史和白带清洁度≥III度不是盆底功能障碍性疾病的独立危险因素（P＞0.05），BMI、孕次、产次为盆底功能障碍性疾病的独立危险因素（P＜0.05）。结论：盆底肌超声在对盆底功能障碍性疾病患者压力性尿失禁的诊断中具有重要价值，在静息状态下和Valsalva状态下发现患者的膀胱经移动情况与尿道倾斜情况。年龄、BMI、孕次、产次、绝经情况以及白带清洁度是否≥III度可能与盆底功能障碍性疾病具有一定关系，BMI、孕次、产次为盆底功能障碍性疾病的独立危险因素。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the related factors of female pelvic floor dysfunction and the clinical significance of SUI measured by pelvic floor ultrasound. Methods: 63 patients with pelvic floor dysfunction in our hospital from 2019 to 2020 were selected as the research objects and divided into the research group. Another 63 healthy women who came to our hospital for physical examination in the same period were selected as the control group. Pelvic floor ultrasound was applied to all women, and the resting state and Valsalva were compared between the two groups through questionnaire survey, the general clinical treatment of two groups of women was investigated. The related factors of female pelvic floor dysfunction were analyzed by single factor analysis and multi factor analysis. Finally, the related factors of pelvic floor dysfunction were obtained. Results: In the resting state, pelvic floor ultrasound showed that there were significant differences in the posterior angle of bladder and urethra, the area of levator ani hiatus and urethral inclination between the study group and the control group (P<0.05), but there were no significant differences in the position of bladder neck and bladder between the two groups (P>0.05). Pelvic ultrasound showed that there were significant differences in the posterior angle of bladder and urethra, levator ani hiatus area, urethral inclination, bladder neck position and bladder position between the study group and the control group (P<0.05); there were significant differences in age, BMI, pregnancy times, labor times, menopause and whether the cleanliness of leucorrhea was greater than or equal to grade III between the two groups (P<0.05). Logistic regression analysis showed that age, menopause, history of uterine fibroids and cleanliness of leucorrhea≥III were not independent risk factors of pelvic floor dysfunction (P>0.05), BMI, pregnancy and parity were independent risk factors of pelvic floor dysfunction (P<0.05). Conclusion: Pelvic floor ultrasound is of great value in the diagnosis of stress urinary incontinence in patients with pelvic floor dysfunction. The bladder movement and urethral inclination can be found in the resting state and Valsalva state. Age, BMI, times of pregnancy, times of labor, menopause and whether the cleanliness of leucorrhea is greater than or equal to grade III may be related to pelvic floor dysfunction. BMI, times of pregnancy and times of labor are independent risk factors for pelvic floor dysfunction. |
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