| 张红彬,孟欣雨,田捧,栗河舟.经会阴盆底超声Trace描记法测量尿道漏斗深度用于评估女性压力性尿失禁[J].中国医学影像技术,2024,40(3):397~400 |
| 经会阴盆底超声Trace描记法测量尿道漏斗深度用于评估女性压力性尿失禁 |
| Transperineal pelvic floor ultrasonic Trace measurement of urethral funnel depth for evaluating female stress incontinence |
| 投稿时间：2023-12-18 修订日期：2024-01-05 |
| DOI：10.13929/j.issn.1003-3289.2024.03.016 |
| 中文关键词: 尿失禁,压力性 尿道 超声检查 |
| 英文关键词:urinary incontinence, stress urethra ultrasonography |
| 基金项目:河南省医学科技攻关计划项目(LHGJ20190378)。 |
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| 中文摘要: |
| 目的 观察经会阴盆底超声Trace描记法测量尿道漏斗深度评估女性压力性尿失禁(SI)的价值。方法 回顾性分析接受经会阴盆底超声检查的160例女性SI患者(SI组)及100例子宫良性病变患者(非SI组),均于最大瓦尔萨尔瓦动作下以Trace描记法测量尿道漏斗深度, 根据尿道漏斗深度与尿道长度比 值区分大、小尿道漏斗;比较组间一般资料 及超声参数。绘制受试者工作特征(ROC)曲线,计算曲线下面积(AUC),观察以尿道漏斗深度及大、小尿道漏斗评估SI的效能。结果 组间顺产次数、最大瓦尔萨尔瓦动作下膀胱后角、尿道漏斗类型及尿道漏斗深度差异均有统计学意义(P均＜0.05);年龄、体质量指数、首次妊娠新生儿体质量、静息态尿道长度、尿道旋转角及最大瓦尔萨尔瓦动作下膀胱颈移动度差异均无统计学意义(P均＞0.05)。以6.35 mm为尿道漏斗深度的最佳截断值,采用Trace描记法评估SI的敏感度、特异度及AUC分别为66.00%、83.00%及0.862。以Trace描记法根据小尿道漏斗评估SI的敏感度、特异度及AUC分别为84.60%、42.50%及0.660,根据大尿道漏斗分别为70.50%、86.30%及0.884。结论 经会阴盆底超声Trace描记法可定量分析尿道漏斗、有效评估女性SI;根据大尿道漏斗评估SI的效能优于小尿道漏斗。 |
| 英文摘要: |
| Objective To observe the value of transperineal pelvic floor ultrasonic Trace measurement of urethral funnel depth for evaluating female stress incontinence (SI). Methods Data of 160 female SI (SI group) patients and 100 with benign renal uterine lesions (non-SI group) underwent transperineal pelvic floor ultrasound were retrospectively analyzed. The depth of urethral funnel was measured using Trace measurement under the maximum Valsalva maneuver, and large or small urethral funnel was judged according to the ratio of urethral funnel depth to urethral length. The general data and ultrasonic indexed were compared between groups. Receiver operating characteristic (ROC) curves were drawn, and the area under the curves (AUC) were calculated to assess the efficacy of urethral funnel depth and large or small urethral funnel for evaluating SI. Results Significant differences of spontaneous delivery time, posterior angle of the bladder under the maximum Valsalva maneuver, type of urethral funnel and urethral funnel depth were found between SI group and non-SI group (all P＜0.05). No significant difference of patients' age, body mass index, neonatal body mass of first pregnancy, urethral length at resting-state, urethra rotation angle and bladder neck mobility under the maximum Valsalva maneuver was found between groups (all P＞0.05). Taken 6.35 mm as the optimal cut-off value of urethral funnel depth, the sensitivity, specificity and AUC of SI evaluated using Trace measurement was 66.00%, 83.00% and 0.862, respectively. The sensitivity, specificity and AUC of Trace measurement evaluation SI according to small urethral funnel was 84.60%, 42.50% and 0.660, respectively, while according to large urethral funnel of 70.50%, 86.30% and 0.884, respectively. Conclusion The depth of urethral funnel measured with transperineal pelvic floor ultrasonic Trace measurement could be used to quantitatively analyze urethral funnel and effectively evaluate female SI. Large urethral funnel had better efficacy than small urethral funnel for evaluating SI. |
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