女性盆底功能障碍性相关因素分析与盆底超声测定变化终稿.docVIP

女性盆底功能障碍性疾病相关因素及盆底超声测定 的临床意义 李婕娜☆ 王英红（通讯作者） 李淑萍 陈玲 （石河子大学医学院第一附属医院妇产科☆ 新疆 石河子 832000） 【摘要】目的:探讨女性盆底功能障碍性疾病(PFD)的相关因素及盆底超声测定SUI的临床意义。方法: 采用随机原则对就诊于我院妇科门诊342例妇女行问卷调查、POP-Q评估，并分析其相关因素。其中接受盆底超声检查的有254例妇女，分为176例 SUI 患者和78例无盆底功能障碍者(对照组)，分析两组在盆底超声测定各指标中的变化(P0.05)。 结果：SUI 组在测量膀胱颈角度（静息状态与最大Valsalva动作）、膀胱旋转角度及膀胱颈移动度等高于对照组，两组有统计学意义(P0.05)。逼尿肌厚度无统计学意义(P0.05)。Logistic回归分析显示，SUI的发生与分娩方式、体重指数、新生儿出生体重等因素有关，与年龄、绝经、孕期体重指数增加、会阴侧切等因素无关。结论：女性盆底功能障碍性疾病与分娩方式、体重指数、新生儿体重等因素有关，盆底超声在PFD中诊断中具有重要的临床意义。 【关键词】女性盆底功能障碍; 盆底超声;相关因素; 【中图分类号】：R711.2 Clinical significance of the related factors female pelvic floor dysfunction disease and ultrasound measurements LI Jie-na WANG Ying-hong LI Shu-ping CHENG Ling （Department of Gynecology,First Affiliated Hospital of Medical School of Shihezi University,Xinjiang Shihezi 832000,china） 【Abstract】Objective:To discuss the related factors of pelvic floor dysfunction disease and pelvic ultrasound measurements the clinical significance of SUI.Methods:In our hospital 342 cases of women with random principle received questionnaire,POP-Q assessment,which received a pelvic ultrasonography in 254 cases of women,divided into 176 patients were found with SUI, and 78 case without pelvic floor dysfunction (control group)，there were significant differences between the two groups.(P0.05)Results:SUIgroup in the measurement of bladder neck angle (resting state and the largest Valsalva action), bladder rotation angle and bladder neck mobility than control group, (P0.05). Detrusor thickness of no statistical significance(P0.05).Logistic regression analysis showed that SUI may be due to the mode of delivery,BMI and birth weight.and it unrelated with age,menopause, pregnancy increased body mass index.Conclusions: Risk factors of PFD include mode of delivery,BMI and birth weight,Pelvic ultrasound has an important clinical significance in the diagnosis of PFD. 【Key words】female Pelvic floor dysfunction; pelvic ultrasound;elated factors 盆底功能障碍性疾病( pelvic floor dysfunction,P