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1、女性盆底功能障碍性疾病相关因素及盆底超声测定的临床意义李婕娜☆王英红（通讯作者）李淑萍陈玲（石河子大学医学院第一附属医院妇产科☆新疆石河子832000）【摘要】目的:探讨女性盆底功能障碍性疾病(PFD)的相关因素及盆底超声测定SUI的临床意义。方法:采用随机原则对就诊于我院妇科门诊342例妇女行问卷调查、POP-Q评估，并分析其相关因素。其中接受盆底超声检查的有254例妇女，分为176例SUI患者和78例无盆底功能障碍者(对照组)，分析两组在盆底超声测定各指标中的变化(P<0.05)。结果：SUI组在测量膀胱颈角度（静息状态与最大Va
2、lsalva动作）、膀胱旋转角度及膀胱颈移动度等高于对照组，两组有统计学意义(P<0.05)。逼尿肌厚度无统计学意义(P>0.05)。Logistic回归分析显示，SUI的发生与分娩方式、体重指数、新生儿出生体重等因素有关，与年龄、绝经、孕期体重指数增加、会阴侧切等因素无关。结论：女性盆底功能障碍性疾病与分娩方式、体重指数、新生儿体重等因素有关，盆底超声在PFD中诊断中具有重要的临床意义。【关键词】女性盆底功能障碍;盆底超声;相关因素;【中图分类号】：R711.2Clinicalsignificanceoftherelatedfact
3、orsfemalepelvicfloordysfunctiondiseaseandultrasoundmeasurementsLIJie-naWANGYing-hongLIShu-pingCHENGLing（DepartmentofGynecology,FirstAffiliatedHospitalofMedicalSchoolofShiheziUniversity,XinjiangShihezi832000,china）【Abstract】Objective:Todiscusstherelatedfactorsoffemalepel
4、vicfloordysfunctiondiseaseandpelvicultrasoundmeasurementstheclinicalsignificanceofSUI.Methods:Inourhospital342casesofwomenwithrandomprinciplereceivedquestionnaire,POP-Qassessment,whichreceivedapelvicultrasonographyin254locatedintheTomb,DongShenJiabang,deferthenextdayfoc
5、usedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcamecasesofwomen,dividedinto176patientswerefoundwithSUI,and78casewithoutpelvicfloordysfunction(controlgroup)，thereweresignifi
6、cantdifferencesbetweenthetwogroups.(P<0.05)Results:SUIgroupinthemeasurementofbladderneckangle(restingstateandthelargestValsalvaaction),bladderrotationangleandbladderneckmobilitythancontrolgroup,(P<0.05).Detrusorthicknessofnostatisticalsignificance(P>0.05).Logisticregres
7、sionanalysisshowedthatSUImaybeduetothemodeofdelivery,BMIandbirthweight.anditunrelatedwithage,menopause,pregnancyincreasedbodymassindex.Conclusions:RiskfactorsofPFDincludemodeofdelivery,BMIandbirthweight,PelvicultrasoundhasanimportantclinicalsignificanceinthediagnosisofP
8、FD.【Keywords】femalePelvicfloordysfunction;pelvicultrasound;relatedfactors盆底功能障碍性疾病(pelvicfloordysfunction,PFD)
