Application Of Pelvic Floor Ultrasound In The Diagnosis Of Female Stress Urinary Incontinence

Objective To discuss the diagnostic value of pelvic floor ultrasound in SUI in female.Method From March 2020 to May 2022,110 women who underwent pelvic floor ultrasound in our hospital were divided into 2 groups.78 patients with SUI in the observation group,and 32 normal women in the control group.Evaluate the diagnostic value of pelvic floor ultrasound in SUI by comparing the structural parameters of anterior pelvic cavityanterior,anterior pelvic prolapse and internal urethral orifice of the two groups during Valsalva op eration and resting state.Results Bladder mobility in the control group(22.40±9.97mm)lower than that in the observation group(30.44±6.51mm)in a resting state,and the difference was significant(P < 0.0 5).The control group2.40(1.60-2.65)mm is not significantly different from the observation group2.15(1.50-2.88)mm in the thickness of bladder detrusor muscle(P > 0.05).It’s the same with t he vertical distance from bladder neck to low er margin of pubic symphysis between observation group 25.10(23.10-29.10)mm and the control group25.60(22.60-29.10)mm(P > 0.05).When the maximum Valsalva act ion,The urethral rotation angle of the control group(41.33±18.25°)was lower than that of the observation group(57.63±19.23°),and the posterior urethral Angle of the blad der in the control group(137.5(131.50-142.25)°)was lower than that of the observa tion group(159(141-180)°),the difference was statistically significant(P < 0.05).Anterior pelvic prolapse in the observation group(65.38%,51/78)was higher than that i n the control group(37.50%,12/32)(P < 0.05).In the observation group,the anter ior pelvic prolapse was mainly Green Ⅱ type,but no Green Ⅲ type.In the control group,the anterior pelvic prolapse was mainly Green Ⅲ type.The formation of endourethral funnn el was lower in the control group(6.25%,2/32)than the observation group(58.97%,46/78).The differences were statistically significant in the urethral rotation angle,the posterior urethral angle of the bladder,anterior pelvic prolapse and the formation of endourethral funnnel.ROC curve results showed that the area under ROC curv e of combined detection was larger than that of urethra rotation angle,bladder posterior urethra angle and bladder mobility.Logistic regr ession analysis showed that the posterior angle of bladder and urethra,funnel of urethra orifice and age were risk f actors for SUI(P < 0.05).Conclusion Pelvic floor ultrasound can be used as a reliable tool for the diagnosis of female SUI and provide a basis for the formulation of clinical treatment.