经会阴盆底超声联合血清雌二醇对女性压力性尿失禁的诊断价值研究

摘要 目的：研究经会阴盆底超声联合血清雌二醇对女性压力性尿失禁（SUI）的诊断价值。方法：选取川北医学院附属医院2018年1月～2022年12月收治的女性SUI患者81例，记作观察组。另选取同期体检正常女性80例作为对照组。比较两组盆底超声参数以及血清雌二醇水平。采用受试者工作特征（ROC）曲线分析上述各项指标单独和联合检测的诊断效能。结果：观察组静息状态下近段尿道和人体纵轴间夹角（UIA）、最大Valsalva动作下近段尿道和膀胱后壁的夹角（PUVA）以及尿道旋转角（URA）相较于对照组较高（均P＜0.05）。观察组血清雌二醇水平相较于对照组明显更低（P＜0.05）。经ROC曲线分析发现：各项盆底超声参数联合血清雌二醇诊断女性SUI的效能优于各项指标单独诊断。结论：经会阴盆底超声可诊断女性SUI，在联合血清雌二醇时诊断女性SUI的价值更高。

Diagnostic Value Study of Transperineal Pelvic Floor Ultrasound Combined with Serum Estradiol in Female Stress Urinary Incontinence

ABSTRACT Objective: To study the diagnostic value of transperineal pelvic floor ultrasound combined with serum estradiol in female stress urinary incontinence (SUI). Methods: 81 female SUI patients who were admitted to Affiliated Hospital of North Sichuan Medical University from January 2018 to December 2022 were selected as the observation group. Another 80 normal women in the same period of physical examination were selected as the control group. The ultrasonic parameters of pelvic floor and the levels of serum estradiol were compared between the two groups. The diagnostic efficacy of individual and joint tests of the above indicators was analyzed using the receiver operating characteristic(ROC) curve. Results: The Angle between the proximal urethra and the longitudinal axis of human body (UIA), the Angle between the proximal urethra and the posterior wall of bladder (PUVA) and the urethra rotation Angle (URA) under maximum Valsalva movement in the observation group were higher than those in the control group (all P<0.05). The serum estradiol level in the observation group was significantly lower than that in the control group(P<0.05). ROC curve analysis showed that the efficacy of pelvic floor ultrasound parameters combined with serum estradiol in the diagnosis of female SUI was better than that of each indicator alone. Conclusion: Transperineal pelvic floor ultrasound can diagnose female SUI, and when combined with serum estradiol, it has a higher value in diagnosing female SUI.