Diagnostic efficacy of pelvic floor ultrasound in the characteristics of stress urinary incontinence after cesarean section and biofeedback efficacy evaluation
- VernacularTitle:盆底超声对剖宫产后压力性尿失禁特征的诊断效能及生物反馈疗效评估
- Author:
Huayi WANG
1
;
Yunzhe WU
;
Zhongmei ZHANG
;
Jiangmin HU
;
Hongyu ZHANG
Author Information
- Keywords: pelvic floor ultrasound parameters; cesarean section; stress urinary incontinence; biofeedback; treatment effect
- From: Journal of Clinical Medicine in Practice 2024;28(4):120-124
- CountryChina
- Language:Chinese
- Abstract: Objective To evaluate the diagnostic efficacy of pelvic floor ultrasound parameters in post-cesarean stress urinary incontinence(SUI)and biofeedback efficacy evaluation.Methods A total of 215 pregnant women who underwent cesarean section were selected by simple sampling meth-od.According to whether postpartum SUI occurred,they were divided into SUI group(n=88)and non-SUI group(n=127).The SUI group received biofeedback therapy.The ultrasonic parameters of pelvic floor were compared between the two groups.The ultrasound parameters of pelvic floor in the SUI group were compared before and after treatment.Results Bladder neck descent(BND),ure-thral rotation angle(URA)as well as levator hiatal area(LHA)and posterior urethrovesical angle(PUVA)in Valsalva state of the SUI group were significantly higher than those in the non-SUI group(P＜0.05).After biofeedback therapy,the total effective rate of 88 patients with SUI after cesarean section was 94.32％.The BND,URA as well as LHA and PUVA in Valsalva state of the SUI group after treatment were significantly lower than those before treatment(P＜0.05).The area under the curve(AUC)of BND,URA,LHA and PUVA in predicting the effect of biofeedback on post-cesare-an section SUI were 0.853,0.897,0.865 and 0.887,respectively.Conclusion Pelvic floor ultra-sound parameters are highly effective in diagnosing SUI after cesarean section and evaluating the effect of biofeedback therapy.
