经会阴三维超声成像对盆腔器官脱垂的诊断价值  

The Value of Transperineal Three-dimensional Ultrasound Imaging in the Diagnosis of Pelvic Organ Prolapse

作　　者：农美芬[1] 凌冰[1] 王小燕[1] 廖明珠[1] 陈海宁[1] 

机构地区：[1]广西壮族自治区人民医院超声科,南宁530021

出　　处：《华西医学》2014年第6期1089-1091,共3页West China Medical Journal

基　　金：广西卫生厅科研课题项目(Z2012310)~~

摘　　要：目的探讨经会阴三维超声成像对盆腔器官脱垂(POP)的诊断价值。方法选取2011年12月-2013年5月行经会阴三维超声检查52例女性患者,其中POP患者32例为观察组,普通妇科疾病患者20例为对照组,两组患者均经会阴三维超声检查获得在静息状态下、Valsalva动作(深吸气后屏气)、肛提肌收缩状态下的三维声像图,通过这3种状态下图像清楚显示出两组患者的盆底肛提肌裂孔面积和矢状位肛提肌裂孔长度不同变化,以及肛提肌出现变薄和缺损现象。结果在3种状态下经会阴三维超声成像显示观察组患者盆底结构比对照组患者松弛,观察组患者的肛提肌裂孔面积和矢状位肛提肌裂孔长度较对照组大,差异均有统计学意义(P<0.05)。结论经会阴三维超声成像可较好显示盆底解剖结构,能有效提高诊断盆腔器官脱垂准确性,值得临床推广应用。Objective To study the value of transperineal three-dimensional ultrasound imaging in the diagnosis of pelvic organ prolapse （POP）. Methods Fifty-two female patients undergoing transperineal three-dimensional ultrasound imaging between December 2011 and May 2013 were chosen for our study. Thirty-two of them with POP were designated into the observation group, and the other 20 patients with common gynecological diseases were regarded as the control group. Both the two groups of patients underwent transperineal three-dimensional ultrasound imaging in their resting state, action state （Valsalva deep inspiration followed by breath holding）, and under levator ani muscle shrinking condition. These three kinds of state images clearly showed pelvic floor levator hiatus area and sagittal levator hiatus lengths change in the patients. Results Pelvic floor was more relaxed in the observation group than that in the control group. The levator hiatus area and sagittal levator hiatus lengths were larger in the observation group than those in the control group, and the differences were significant （P 〈 0.05）. Conclusion Transperineal three-dimensional ultrasound imaging can better display pelvic anatomic structure, improve the effectiveness and accuracy of the diagnosis of pelvic organ prolapse, which is worthy of clinical application.

关 键 词：三维超声 肛提肌 盆腔器官脱垂 

分 类 号：R445.1[医药卫生—影像医学与核医学]