Clinical application of pelvic floor ultrasonography combined with rectus abdominis ultrasonography in the etiological diagnosis of female urinary leakage

DUAN Xiangfeng; ZHONG Yan; ZHAN Chunhua; LIU Jindi

Abstract：Objective:To observe the effect of pelvic floor ultrasonography combined with rectus abdominis ultra-sonography in the etiological diagnosis of female urinary leakage.Methods:ALL 40 female patients with urinary leakage admitted to hospital from March 2020 to December 2021 were selected as the observation group,and 40 female patients receiving health examination during the same period were selected as the control group.Both groups of women were ex-amined by pelvic floor ultrasound combined with rectus abdominis ultrasound.The posterior Angle of bladder and ure-thra,urethral inclination Angle and bladder neck mobility of the two groups were observed and compared in the resting state and the maximum Valsalva operation,and the distance between rectus abdominis muscles at the umbilical level,3～5 cm above the umbilical level and 3～5 cm below the umbilical level were compared in the resting state and the roll-ing state of rectus abdominis muscles,and the formation of the internal urethra opening of the two groups was com-pared.Results:There were no significant differences in urethral inclination Angle,posterior Angle of bladder urethra and bladder neck mobility between the two groups at rest(P＞0.05),and the observation group under maximum Val-salva movement was higher than the control group(P＜0.05).The distance between rectus abdominis muscle in the observation group was greater than that in the control group in the resting state and the rolling state(P＜0.05).The formation rate of funnel in the observation group was higher than that in the control group(P＜0.05).Conclusion:Pel-vic floor ultrasound combined with rectus abdominis ultrasound can evaluate the degree of urinary incontinence pa-tients,reflect the structure and function of rectus abdominis and pelvic floor of patients truly and accurately,and predict the efficacy,providing reliable information for clinical decision making and intervention.