盆底超声在女性盆底功能障碍性疾病中的应用价值  

Application value of pelvic floor ultrasound in female pelvic floor dysfunction

作　　者：刘朝霞 王志刚 朱燕梅 丁雄星 何思玲 蒋响妹 

机构地区：[1]江西省修水县第一人民医院超声科,江西修水332400

出　　处：《中国当代医药》2016年第25期132-134,共3页China Modern Medicine

基　　金：江西省卫计委科技计划(新技术推广计划)项目(20167151)

摘　　要：目的探讨超声在女性盆底功能障碍性疾病的应用价值。方法选取2015年6月~2016年1月我院60例女性盆底功能障碍疾病患者为研究对象[包括35例盆底器官脱垂（POP）患者（POP组）和25例压力性尿失禁（SUI）患者（SUI组）],30例健康志愿者为对照组,均接受超声检查。比较SUI组、POP组及对照组间膀胱及逼尿肌相关参数（膀胱颈角度、膀胱颈旋转角度、膀胱颈移动度及逼尿肌厚度）、盆底相关参数[肛提肌裂孔前后径（M）、肛提肌裂孔横径（N）、耻骨内肌厚度（C）、肛提肌裂孔容积（A）及肛提肌左右支的夹角（γ）]。结果 SUI组、POP组及对照组间,膀胱颈角度（静息）、膀胱颈角度（Valsalva）、膀胱旋转角度及膀胱颈移动度比较,差异均有统计学意义（均P〈0.01）,其中SUI组上述参数变化更加明显,与其他两组间差异均有统计学意义（均P〈0.01）。静息状态下,SUI组、POP组及对照组间,M及A差异均有统计学意义（均P〈0.05）。Valsalva状态下,M、C、A及γ间差异均有统计学意义（均P〈0.01）。结论超声可以清晰显示女性盆底功能障碍性疾病的特征,临床应用价值高。Objective To investigate the application value of ultrasound in the female pelvic floor dysfunction.Methods 60 cases of female pelvic floor dysfunction in our hospital from June 2015 to January 2016 were chosen for the study [including 35 patients with pelvic organ prolapsed（POP）（POP group） and 25 patients with stress urinary incontinence（SUI）（SUI group）],30 healthy volunteers were chosen as control group,all underwent ultrasound examination.Bladder and detrusor related parameters（bladder neck angle,the rotation angle of bladder neck and bladder neck mobility and detrusor thickness）,pelvic floor related parameters [anteroposterior diameter（M）,transverse diameter of levator hiatus（N）,thickness of pubic muscle（C）,volume of the hole（A） and the angle between the left and right branches of anal fissure] of SUI group,POP group and control group were compared.Results there were statistically significant differences among bladder neck angle（resting）,bladder neck angle（Valsalva）,bladder rotation angle and bladder neck mobility in SUI group, POP group and control group（all P〈0.01）,the parameters of SUI group were more obvious,the differences compare with the other two groups were statistically significant（P〈0.01）.At the resting state,there were significant differences in M and A among SUI group,POP group and control group（all P〈0.05）.There were significant differences in M,C,A and γ in Valsalva state among three groups（all P〈0.01）.Conclusion The ultrasound can clearly display the characteristics of female pelvic floor dysfunction,and the clinical application value is high.

关 键 词：盆底功能障碍性疾病 尿失禁 超声 子宫脱垂 

分 类 号：R445.1[医药卫生—影像医学与核医学]