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目的探讨超声膀胱颈移动度(UVJ-M)在预测妊娠晚期和产后压力性尿失禁(SUI)中的应用价值。方法连续选择2014年10月-2016年10月入住该院的140例妊娠晚期(>36周)孕妇,根据SUI诊断标准分为SUI组(42例)和无SUI组(98例),采用经会阴超声检测UVJ-M值,比较两组妊娠晚期和产后6周的差异性;用UVJ-M值作为预测妊娠晚期和产后6周SUI的发生参数,采用受试者工作曲线(ROC)分析,寻找临界值。结果 SUI组妊娠晚期和产后6周的UVJ-M值均明显大于无SUI组(P<0.05),36周≤孕周<37周、37周≤孕周<38周和38~40周3组组间比较,差异有统计学意义(P<0.05)。ROC分析得出,UVJ-M值预测妊娠晚期SUI发生的敏感性为85.3%,特异性为86.9%,准确性(AUC值)为0.824,临界值为6.56 mm;预测产后6周SUI发生的敏感性为82.2%,特异性84.5%,准确性(AUC值)为0.811,临界值为8.27 mm。结论超声检测UVJ-M对预测妊娠晚期和产后6周SUI的发生有较好的应用价值。
Objective To investigate the value of ultrasound neck mobility (UVJ-M) in predicting late pregnancy and postpartum stress urinary incontinence (SUI). Methods A total of 140 pregnant women (> 36 weeks) who were hospitalized in our hospital from October 2014 to October 2016 were selected and divided into SUI group (42 cases) and SUI group (98 cases) according to SUI diagnostic criteria. Perineal ultrasound was used to detect the UVJ-M value, and the difference between the two groups was compared between the third trimester and the sixth trimester. The UVJ-M values were used to predict the occurrence of SUI in the third trimester of pregnancy and the sixth week of postpartum. The receiver operating curve (ROC) Find the threshold. Results The UVJ-M values in the third trimester of pregnancy and postpartum in SUI group were significantly higher than those in the non-SUI group (P <0.05), 36 weeks ≤ gestational weeks <37 weeks, 37 weeks ≤ gestational weeks <38 weeks and 38-40 weeks The differences between the two groups were statistically significant (P <0.05). ROC analysis showed that UVJ-M value predicts SUI occurrence in late pregnancy is 85.3%, specificity is 86.9%, accuracy (AUC) is 0.824, and the critical value is 6.56 mm. Predicting the sensitivity of SUI at 6 weeks postpartum The odds ratio was 82.2%, the specificity was 84.5%, the accuracy (AUC) was 0.811 and the critical value was 8.27 mm. Conclusion Ultrasound detection of UVJ-M has a good value in predicting the occurrence of SUI in the third trimester of pregnancy and postpartum.