The Application of Pelvic Floor Ultrasound Image Analysis Technology in the Neurorehabilitation of Postpartum Urinary Incontinence

Objective: To evaluate the outcome of neurorehabilitation on the structure of the pelvic floor muscle (PFM) of parturient women by using the image analysis technology of PFM ultrasonography, and to explore the imaging indexes for the comprehensive evaluation of the therapeutic outcome of postpartum urinary incontinence (PUI), thus providing a direct and reliable imaging basis for the clinic. Methods: From January 2017 to July 2019, 80 patients suffering from stress incontinence were included. All patients were divided into the control group (40 patients) and the rehabilitation group (40 patients) randomly. They received routine guidance, health education, and neurorehabilitation, respectively. The PFM was examined and the therapeutic outcome was evaluated by the PFM ultrasonography image analysis technology. Results: Compared to the control group, in the resting state, the levels of pelvic diaphragm hiatus diameter (PHD), pelvic diaphragm hiatus transverse diameter (PHTD), pelvic diaphragm hiatus area (PHA), and the horizontal angle of levator ani muscle (LAM) hiatus of the rehabilitation group were notably lower; in the maximum Valsalva action, the PHD, PHTD, and PHA levels of the rehabilitation group were notably lower; in the anorectal movement, the PHD, PHTD, and PHA levels of the rehabilitation group were notably decreased, and the total effectiveness of the rehabilitation group was notably higher. Conclusion: PFM ultrasonography image analysis technology can dynamically observe the changes of PFM structure parameters before and after neurorehabilitation, which is worthy of clinical application. PHD, PHTD and PHA can be used as important imaging indicators to measure the outcome of neurorehabilitation.