Ptaszkowski Kuba, Małkiewicz Bartosz, Zdrojowy Romuald, Paprocka-Borowicz Malgorzata, Ptaszkowska Lucyna
Department of Clinical Biomechanics and Physiotherapy in Motor System Disorders, Wroclaw Medical University, Grunwaldzka 2, 50-355 Wroclaw, Poland.
Department of Urology and Oncologic Urology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland.
Diagnostics (Basel). 2021 Nov 5;11(11):2051. doi: 10.3390/diagnostics11112051.
Shear wave elastography is an effective method for studying the condition of various musculoskeletal soft tissues. The primary aim of this study was the objective elastographic and electromyographic assessment of the pelvic floor during the rest and contraction of the pelvic floor muscles (PFM) in postmenopausal women.
This was a prospective observational study that was carried out at the University Hospital in Wroclaw, Poland, between January 2017 and December 2019.
The target group of the study included postmenopausal women with stress urinary incontinence. The primary outcomes were the features of the elastographic assessment of the pelvic floor during rest and contraction of the PFM obtained using shear wave elastography.
Based on the inclusion and exclusion criteria for the study, 14 patients took part in the measurements. There was a significant difference between the elastographic assessment of the pelvic floor during rest and contraction of the PFM at all locations in front of the urethra. No statistically significant correlation was found between the results of elastography and the bioelectrical activity of PFM.
The elasticity of the periurethral structures is higher during active pelvic floor muscle contraction than at rest, it seems that shear wave elastography is an effective test that objectively assesses the strength of PFM contraction.
剪切波弹性成像技术是研究各种肌肉骨骼软组织状况的有效方法。本研究的主要目的是对绝经后女性盆底肌肉（PFM）休息和收缩时的盆底进行客观的弹性成像和肌电图评估。
这是一项前瞻性观察性研究，于2017年1月至2019年12月在波兰弗罗茨瓦夫大学医院进行。
研究的目标人群包括患有压力性尿失禁的绝经后女性。主要结果是使用剪切波弹性成像技术获得的PFM休息和收缩时盆底弹性成像评估的特征。
根据研究的纳入和排除标准，14名患者参与了测量。在尿道前方所有位置，PFM休息和收缩时盆底的弹性成像评估存在显著差异。弹性成像结果与PFM的生物电活动之间未发现统计学上的显著相关性。
在盆底肌肉主动收缩期间，尿道周围结构的弹性高于休息时，似乎剪切波弹性成像技术是一种客观评估PFM收缩强度的有效测试方法。
