Ceska Gynekol. 2023;88(4):273-278. doi: 10.48095/cccg2023273.
Currently, there are not enough studies comparing the width of the linea alba in women with and without stress urinary incontinence in postpartum women. The primary aim of the study was to compare the width (IRD) in postpartum women with and without symptoms of stress urinary incontinence (SUI). The secondary aim of the study was to compare pelvic floor muscle morphometry in postpartum women with and without SUI symptoms.
IRD distance was measured with a linear probe via 2D US. Urinary leakage symptoms were assessed by the International Consultation on Incontinence Questionnaire (ICIQ - UI SF). Symptoms of overactive bladder were assessed by the Brief Urge Urinary Incontinence Symptoms Questionnaire (OAB-q). The functional status of the pelvic floor muscles was examined by manometry and pelvic floor muscle morphometry was examined by 3D/4D US.
We compared IRD distance with and without SUI symptoms in postpartum women. The group of patients with stress urinary incontinence had a greater IRD distance at rest and during exercise compared to women without stress urinary incontinence. No worse pelvic floor muscle function and morphometry was found in women with SUI compared to women without SUI.
目前，关于产后压力性尿失禁女性与无压力性尿失禁女性白线宽度的研究还不够。本研究的主要目的是比较有和无症状压力性尿失禁（SUI）的产后女性的白线宽度（IRD）。本研究的次要目的是比较有和无症状 SUI 产后女性的盆底肌肉形态计量学。
IRD 距离通过 2D US 使用线性探头进行测量。尿失禁症状通过国际尿失禁咨询问卷（ICIQ-UI SF）进行评估。膀胱过度活动症症状通过简要逼尿症尿失禁症状问卷（OAB-q）进行评估。盆底肌肉的功能状态通过压力测量法进行检查，盆底肌肉形态计量学通过 3D/4D US 进行检查。
我们比较了产后有和无症状 SUI 女性的 IRD 距离。与无压力性尿失禁女性相比，有压力性尿失禁的患者在休息和运动时的 IRD 距离更大。与无 SUI 的女性相比，有 SUI 的女性的盆底肌肉功能和形态计量学并没有更差。
