Volume 20 Issue 3
Mar.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(3): 454-457
YAN Jing, QIAN Chen-feng, ZHOU Yi-bo. Quantitative detection method for diagnosis and prognosis evaluation of postpartum stress urinary incontinence in women[J]. Chinese Journal of General Practice, 2022, 20(3): 454-457. doi: 10.16766/j.cnki.issn.1674-4152.002376
Citation: YAN Jing, QIAN Chen-feng, ZHOU Yi-bo. Quantitative detection method for diagnosis and prognosis evaluation of postpartum stress urinary incontinence in women[J]. Chinese Journal of General Practice, 2022, 20(3): 454-457. doi: 10.16766/j.cnki.issn.1674-4152.002376
shu

Quantitative detection method for diagnosis and prognosis evaluation of postpartum stress urinary incontinence in women

doi: 10.16766/j.cnki.issn.1674-4152.002376

  • Department of Ultrasound Medicine, Jinhua Central Hospital, Jinhua, Zhejiang 321000, China

Funds:

 LSY19H180006

  • Received Date: 2021-10-13
    Available Online: 2022-08-13
    Abstract
  •   Objective  To observe the clinical effect of pelvic floor ultrasound and urodynamic test in the diagnosis and prognosis evaluation of female postpartum stress urinary incontinence.  Methods  One hundred cases of postpartum stress urinary incontinence patients and 300 cases of normal postpartum women were studied. All subjects were tested by pelvic floor ultrasound and urodynamics. The patients with postpartum stress incontinence were trained with pelvic floor muscle rehabilitation and biofeedback electrical stimulation to evaluate the efficacy level. The changes in pelvic floor ultrasound and urodynamic indexes between patients with postpartum stress incontinence and normal postpartum women and patients with different therapeutic levels were compared.  Results  The ultrasonic detection values of bladder neck movement distance and urethral rotation angle in patients with postpartum stress urinary incontinence were significantly higher than those in normal postpartum women (t=32.768, 28.960; all P < 0.001), the rate of intraurethral funnel formation in patients with postpartum stress urinary incontinence (88.00%) was significantly higher than that in normal postpartum women (11.33%, χ2=207.965, P < 0.001), and the urodynamic parameters such as maximum urethral closure pressure, functional urethral length and maximum urethral pressure in patients with postpartum stress urinary incontinence were significantly lower than those of normal postpartum women (all P < 0.001). The total effective rate of floor muscle rehabilitation training and biofeedback electrical stimulation for patients with postpartum stress urinary incontinence was 83.00%. The pelvic floor ultrasound indexes of patients with postpartum stress urinary incontinence after effective rehabilitation treatment were significantly lower than those of patients with ineffective treatment (t=5.760, 8.323; all P < 0.001), the rate of intraurethral funnel formation (18.07%) was significantly lower than that of patients with ineffective treatment (76.47%, χ2=21.060, P < 0.001), and the urodynamic indexes were significantly higher than those in patients with ineffective treatment (all P < 0.001).  Conclusion  Pelvic floor ultrasound and urodynamic detection can effectively identify the changes of pelvic floor tissue structure and urethral physiological function in patients with postpartum stress urinary incontinence, which has high clinical application value for early diagnosis and prognosis evaluation of postpartum stress urinary incontinence.

     

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