Volume 20 Issue 11
Nov.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(11): 1916-1919
SU Jin-zhan, XU Ying-zi, DU Jia, HUANG Xiao-shan, FAN Shu-feng, LI Miao-er. Application of pelvic floor ultrasound combined with MRI in treating stress urinary incontinence with Fu's subcutaneous needling[J]. Chinese Journal of General Practice, 2022, 20(11): 1916-1919. doi: 10.16766/j.cnki.issn.1674-4152.002735
Citation: SU Jin-zhan, XU Ying-zi, DU Jia, HUANG Xiao-shan, FAN Shu-feng, LI Miao-er. Application of pelvic floor ultrasound combined with MRI in treating stress urinary incontinence with Fu's subcutaneous needling[J]. Chinese Journal of General Practice, 2022, 20(11): 1916-1919. doi: 10.16766/j.cnki.issn.1674-4152.002735
shu

Application of pelvic floor ultrasound combined with MRI in treating stress urinary incontinence with Fu's subcutaneous needling

doi: 10.16766/j.cnki.issn.1674-4152.002735
  • 1.

    Department of Radiology, the Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310015, China

Funds:

 2018ZQ024

  • Received Date: 2021-10-28
    Available Online: 2022-12-30
    Abstract
  •   Objective  To observe the changes of different indicators before and after the treatment of mild to moderate stress urinary incontinence with Fu's subcutaneous needling using transperineal pelvic floor ultrasound combined with pelvic floor MRI, and provide an objective basis for judging the efficacy of Fu's subcutaneous needling in treating stress urinary incontinence.  Methods  A total of 100 patients with mild to moderate stress urinary incontinence that were diagnosed in the Second Affiliated Hospital of Zhejiang Chinese Medical University from January 2017 to April 2020 were randomly divided into control group (n=50) and experimental group (n=50). The control group received the Kegel exercise, meanwhile, the experimental group received Fu's subcutaneous needling and Kegel exercise. Patients were examined by pelvic floor ultrasound and MRI before and after treatment. The bladder neck descent (BND), posterior angle of the bladder (Av), the tilt angle of the urethra (θv), rotation angle of the urethra (θ), area of the levator hiatus (Sv) and the opening of the urethral orifice, the continuity and thickness of levator anus and urethral sphincter, the morphology and muscle T2WI signal values of peri-urethral ligament, para-urethral ligament, pubic urethral ligament, hypospadias ligament of the two groups were compared before and after the treatment.  Results  Before the treatment, there was no significant difference found in ultrasound and MRI indicators between the two groups (all P > 0.05). Compare the two groups after treatment, there were significant differences in BND [control group (24.71±4.84) mm; experimental group (30.01±6.40) mm], Av, θv, θ, Sv, pubic sphincter thickness [control group (3.19±0.14) mm; experimental group (3.32±0.10) mm], the thickness of urethral sphincter T2WI signal value and urethral sphincter T2WI signal value (P < 0.05). Meanwhile, in the resting state, there were statistically significant differences in funnelization of the internal urethral orifice between the two groups [control group 22 cases (44.0%), experimental group 6 cases (13.3%), P < 0.05].  Conclusion  After Fu's subcutaneous needling treatment, some parameters and functions of the bladder, urethra and pelvic floor muscle are changed in patients with mild to moderate stress urinary incontinence. Therefore, pelvic floor ultrasound combined with MRI can be used to evaluate the efficacy of Fu's subcutaneous needling therapy.

     

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