本文選題：尿失禁 + 壓力性　； 參考：《中國臨床醫(yī)學影像雜志》2017年05期

【摘要】：目的:探討經會陰超聲觀察尿道旋轉角在女性壓力性尿失禁(SUI)中的診斷價值。方法:回顧性分析2012年11月-2015年11月經臨床診斷為SUI女性患者260例為病例組,同時選擇無癥狀女性患者60例作為對照組,兩組患者均進行經會陰超聲檢查,觀察兩組患者尿道旋轉角(URA)的情況,評估URA在SUI中的診斷價值。結果:兩組患者年齡、BMI比較無統(tǒng)計學差異(P0.05)。病例組患者URA大小(57.0±26.9)°,對照組患者URA大小(32.3±13.3)°,兩組結果比較具有統(tǒng)計學差異(P0.05)。應用受試者工作(ROC)曲線分析得出,當以URA 45°作為診斷SUI的截斷值,其曲線下面積為0.771,敏感度為66.8%、特異度為85.0%。結論:尿道旋轉角在女性壓力性尿失禁診斷中具有較高的價值,診斷截斷值的確定有助于臨床對SUI患者的診斷及評估。
[Abstract]:Objective: to evaluate the diagnostic value of urethral rotation angle in female stress urinary incontinence (sui) by transperineal ultrasonography. Methods: from November 2012 to November 2015, 260 women with SUI were selected as the case group and 60 asymptomatic female patients as the control group. The patients in both groups were examined by transperineal ultrasonography. To evaluate the diagnostic value of URA in SUI by observing urethral rotation angle (URAA). Results: there was no significant difference in BMI between the two groups (P 0.05). The size of URA was 57.0 鹵26.9 擄in the case group and 32.3 鹵13.3 擄in the control group. The difference between the two groups was statistically significant (P 0.05). The results showed that the area under the curve was 0.771, the sensitivity was 66.8, and the specificity was 85.0 when URA 45 擄was used as the truncation value for diagnosis of SUI. Conclusion: the urethral rotation angle has a high value in the diagnosis of female stress urinary incontinence. The determination of diagnostic truncation value is helpful for clinical diagnosis and evaluation of SUI patients.
【作者單位】： 中山大學附屬第三醫(yī)院超聲科;
【基金】：廣東省科技計劃項目(2014A020212661) 廣東省醫(yī)學科研基金(A2015284)
【分類號】：R445.1;R694.54
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本文編號：1913538