经会阴三维断层超声成像对女性压力性尿失禁肛提肌缺陷的观察  

Observation of levator ani defect in women with stress urinary incontinence by transperineal three-dimensional tomographic ultrasound imaging

作　　者：吴海燕[1] 向双[1] 尹慧[1] 张伟[1] 李蓬[1] 杨碧云[1] 戴河柳[2] 柯丽娜[2] WU Haiyan XIANG Shuang YIN Hui ZHANG Wei LI Peng YANG Biyun DAI Heliu KE Li＇ na(Department of Ultrasound, Dongfeng Affiliated Hospital of Hubei University of Medicine, Hubei 442000, Chin)

机构地区：[1]湖北医药学院附属东风总医院超声科,湖北省十堰市442000 [2]湖北医药学院附属东风总医院妇科,湖北省十堰市442000

出　　处：《临床超声医学杂志》2017年第7期481-483,共3页Journal of Clinical Ultrasound in Medicine

基　　金：湖北省教育厅科学技术研究指导性项目(B2014064)

摘　　要：目的应用经会阴三维断层超声成像(TUI)观察女性压力性尿失禁患者肛提肌缺陷情况,探讨其临床应用价值。方法对130例压力性尿失禁患者进行基本评估和肛提肌触诊评估,然后根据经会阴三维TUI评估结果分析肛提肌缺陷情况。结果 130例患者中,经触诊检查发现51例患者有肛提肌缺陷,经会阴三维TUI评估发现61例患者有肛提肌缺陷,两种方法评估肛提肌缺陷情况比较差异无统计学意义。69例肛提肌完整患者与61例肛提肌缺陷患者在静息和最大限度盆底肌收缩状态下肛提肌裂孔长度、肛提肌裂孔面积及肛提肌耻骨联合间距比较差异均有统计学意义(均P<0.05)。结论肛提肌触诊与经会阴三维TUI在评估肛提肌缺陷方面效果均较好,经会阴三维TUI可以更好地显示盆底解剖结构和判断肛提肌缺陷情况。Objective To investigate the clinical application value of transperineal three-dimensional tomographic ultrasound imaging（TUI） in observing the levator ani defect in women with stress urinary incontinence. Methods Basic evaluation and palpation assessment for the levator ani muscle were performed on the 130 patients with stress urinary incontinence,then the condition of levator ani defect was analyzed by transperineal three-dimensional TUI.Results Among 130 patients,51 cases had levator ani defect detected by palpation,61 cases had levator ani defect detected by transperineal three-dimensional TUI,there was no statistical difference between the two methods.There was significant difference in length of levator ani liatus,area of levator ani liatus and levator symphysis gap at resting and maximum pelvic floor muscle contraction status between normal patients and patients with levator ani defect（all P〈0. 05）. Conclusion Palpation and transperineal three-dimensional TUI assessment show good effect in detection of levator ani defect.Three-dimensional TUI can better present the pelvic anatomy results and judge the levator ani muscle defect situations.

关 键 词：三维断层超声成像 压力性尿失禁 肛提肌缺陷 

分 类 号：R246.3[医药卫生—针灸推拿学] R445.1[医药卫生—中医临床基础]