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Association of post-operative transperineal ultrasound parameters with de novo stress urinary incontinence following transvaginal mesh surgery.经阴道网片手术后经会阴超声参数与新发压力性尿失禁的相关性
Sci Rep. 2025 May 26;15(1):18386. doi: 10.1038/s41598-025-03205-2.
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Transperineal pelvic floor ultrasound for analyzing the outcomes of pelvic floor surgery for the treatment of anterior compartment prolapse: A comparative study of transvaginal mesh and native-tissue repair.经会阴盆底超声在分析经阴道网片修补术与经阴道固有组织修补术治疗前盆腔脏器脱垂手术效果中的应用：一项比较研究。
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本文引用的文献

1
Is location of urethral kinking a confounder of association between urethral closure pressure and stress urinary incontinence?尿道弯曲位置是否为尿道闭合压与压力性尿失禁之间关联的混杂因素？
Ultrasound Obstet Gynecol. 2021 Mar;57(3):488-492. doi: 10.1002/uog.22153.
2
Predictors for de novo stress urinary incontinence following pelvic reconstruction surgery with transvaginal single-incisional mesh.经阴道单切口网片置入盆底重建术后新发压力性尿失禁的预测因素。
Sci Rep. 2019 Dec 16;9(1):19166. doi: 10.1038/s41598-019-55512-0.
3
Three-Dimensional Transperineal Ultrasonography for Diagnosis of Female Occult Stress Urinary Incontinence.经会阴三维超声在女性隐匿性压力性尿失禁诊断中的应用。
Med Sci Monit. 2019 Oct 28;25:8078-8083. doi: 10.12659/MSM.917086.
4
Changes in urethral mobility and configuration after prolapse repair.脱垂修复后尿道活动度和形态的变化。
Ultrasound Obstet Gynecol. 2019 Jan;53(1):124-128. doi: 10.1002/uog.19165.
5
Association between pelvic organ prolapse types and levator-urethra gap as measured by 3D transperineal ultrasound.三维经会阴超声测量的盆底器官脱垂类型与肛提肌-尿道间隙之间的关联。
J Ultrasound Med. 2018 Dec;37(12):2849-2854. doi: 10.1002/jum.14644. Epub 2018 Apr 19.
6
Correlations between Sonographic and Urodynamic Findings after Mid Urethral Sling Surgery.经尿道中段吊带术后超声与尿动力学检查结果的相关性。
J Urol. 2018 Jun;199(6):1571-1576. doi: 10.1016/j.juro.2017.12.046. Epub 2017 Dec 26.
7
Diagnosis and classification of female stress urinary incontinence by transperineal two-dimensional ultrasound.经会阴二维超声对女性压力性尿失禁的诊断与分类
Technol Health Care. 2017 Oct 23;25(5):859-866. doi: 10.3233/THC-160786.
8
Three-dimensional translabial ultrasound assessment of urethral supports and the urethral sphincter complex in stress urinary incontinence.压力性尿失禁中尿道支撑结构及尿道括约肌复合体的三维经唇超声评估
Neurourol Urodyn. 2017 Sep;36(7):1839-1845. doi: 10.1002/nau.23193. Epub 2017 Jan 19.
9
Transperineal ultrasonography in stress urinary incontinence: The significance of urethral rotation angles.经会阴超声检查在压力性尿失禁中的应用：尿道旋转角度的意义
Arab J Urol. 2016 Mar;14(1):66-71. doi: 10.1016/j.aju.2015.11.003. Epub 2015 Dec 29.
10
Magnetic resonance imaging in assessment of stress urinary incontinence in women: Parameters differentiating urethral hypermobility and intrinsic sphincter deficiency.磁共振成像在评估女性压力性尿失禁中的应用：区分尿道活动过度和固有括约肌功能不全的参数
World J Radiol. 2015 Nov 28;7(11):394-404. doi: 10.4329/wjr.v7.i11.394.

经阴道网片手术后经会阴超声参数与新发压力性尿失禁的相关性

Association of post-operative transperineal ultrasound parameters with de novo stress urinary incontinence following transvaginal mesh surgery.

作者信息

Chang Chieh-Yu, Loo Zi-Xi, Lin Kun-Ling, Sung I-Chieh, Long Cheng-Yu

机构信息

Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Department of Obstetrics and Gynecology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan.

出版信息

Sci Rep. 2025 May 26;15(1):18386. doi: 10.1038/s41598-025-03205-2.

DOI:10.1038/s41598-025-03205-2
PMID:40419586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12106803/
Abstract

Pelvic organ prolapse (POP) often coexists with stress urinary incontinence (SUI), posing challenges in surgical management. De novo SUI post-surgery remains unpredictable, prompting this study to explore ultrasound's role in assessing de novo SUI after transvaginal mesh (TVM) surgery. A retrospective analysis of 92 women undergoing TVM surgery revealed a 36.9% incidence of de novo SUI. Specific ultrasound parameters, such as proximal urethral rotational angle and levator urethral gap during straining, were found associated with de novo SUI after TVM surgery. Despite certain limitations in this study, ultrasound emerges as a valuable tool for assessing pelvic floor integrity and guiding clinical decisions in urogynecology.

摘要

盆腔器官脱垂（POP）常与压力性尿失禁（SUI）并存，给手术治疗带来挑战。术后新发SUI仍然难以预测，促使本研究探索超声在评估经阴道网片（TVM）手术后新发SUI中的作用。对92例行TVM手术的女性进行回顾性分析发现，新发SUI的发生率为36.9%。发现特定的超声参数，如用力时尿道近端旋转角度和提肌尿道间隙，与TVM手术后新发SUI相关。尽管本研究存在一定局限性，但超声成为评估盆底完整性和指导妇科泌尿临床决策的有价值工具。