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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Applicability of perineal sonography in anatomical evaluation of bladder neck in women with and without genuine stress incontinence.
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Applicability of perineal sonography in anatomical evaluation of bladder neck in women with and without genuine stress incontinence.

机译:会阴超声在有或没有真正压力性尿失禁的女性中对膀胱颈的解剖学评估的适用性。

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摘要

Thirty-seven patients with proven genuine stress incontinence (GSI) underwent ultrasound study to evaluate the bladder neck position relative to the symphysis pubis. Sixty-five continent women including 40 parous and 25 nulliparous women were recruited as a control group. Several parameters were found to be statistically different between incontinent and control groups (P < 0.01). If 28 degrees or 13 mm were used as the cut-off point for rotational angle (RA) and descent of bladder neck (DBN), the sensitivity, specificity, and positive and negative predictive values were 78.0%, 76.9%, 64.3%, and 33.3%, respectively. The specificity and positive predictive value for GSI increased to 83.1% and 67.6% if these two parameters were used together. Perineal sonography is valuable in assessing anatomic change of the bladder neck, but it is not a sensitive tool for predicting GSI.
机译:37名经证实具有真正的压力性尿失禁(GSI)的患者接受了超声检查,以评估相对于耻骨联合的膀胱颈位置。招募了65名大陆妇女,包括40名产妇和25名未产妇作为对照组。失禁组和对照组之间的几个参数在统计学上是不同的(P <0.01)。如果将28度或13毫米用作旋转角(RA)和膀胱颈下降(DBN)的截止点,则敏感性,特异性以及阳性和阴性预测值分别为78.0%,76.9%,64.3%,和33.3%。如果将这两个参数一起使用,对GSI的特异性和阳性预测值将分别提高到83.1%和67.6%。会阴超声检查在评估膀胱颈的解剖变化方面很有价值,但它并不是预测GSI的敏感工具。

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