经会阴超声在诊断女性盆底功能障碍性疾病中的价值  

The clinical value of transperineal ultrasonography in female pelvic floor disfunctions

作　　者：李萍萍 彭丽珊[1] 张乾泉 黄芩莉 Li Pingping;Peng Lishan;Zhang Qianquan;Huang Qinli(Department of Ultrasound,Guizhou Provincial People’s Hospital,Guiyang,Guizhou 550002,China)

机构地区：[1]贵州省人民医院超声科,贵州贵阳550002

出　　处：《影像研究与医学应用》2020年第11期56-59,共4页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨经会阴超声检查在诊断女性盆底功能障碍性疾病的临床价值。方法:选取2018年12月—2019年12月于我院行盆底超声检查的100例女性为研究对象,按临床是否诊断为盆底功能障碍性疾病分为对照组和实验组,将健康女性50例作为对照组,盆底功能障碍性疾病女性50例作为实验组,分别行经会阴二维、三维超声检查。二维超声对两组静息、最大Valsalva状态下膀胱颈、宫颈及直肠壶腹部最低点至耻骨联合下缘距离进行比较;三维超声对两组静息、缩肛及最大Valsalva状态下肛提肌裂孔前后径、肛提肌裂孔横径、肛提肌裂孔面积及耻骨内脏肌厚度进行比较。结果:经会阴二维超声检查,在最大Valsalva状态下,实验组的膀胱颈、宫颈及直肠壶腹部最低点至耻骨联合下缘距离小于对照组,差异有统计学意义(P<0.05);经会阴三维超声检查,在静息、缩肛及最大Valsalva状态下,实验组肛提肌裂孔前后径、肛提肌裂孔横径、肛提肌裂孔面积及耻骨内脏肌厚度大于对照组,差异有统计学意义(P<0.05)。结论:经会阴超声对诊断女性盆底功能障碍性疾病具有重要的临床意义。Objective This paper analyzes and investigates the clinical value of Transperineal Ultrasonography in diagnosis of Female Pelvic Floor Disfunctions(FPFD).Method 100 female patients,who took the Pelvic Floor Ultrasound Examination in the hospital from December 2018 to December 2019,were selected as research objects.According to whether the patient was diagnosed of FPFD clinically,patients were divided into test and control groups.50 healthy patients were classified as the control group and 50 patients with FPFD were classified as the test group,and patients from both groups received 2D and 3D Transperineal Ultrasound(TU).2D TU was used to compare distance between bladder neck and lower margin of pubic symphysis(LMPS),distance between cervix and LMPS and distance between rectum ampulla and LMPS for both groups,at both rest and Valsalva state.3D TU was used to compare the anteroposterior diameter,left-to-right diameter and area of levatorani hiatus and the thickness of pubovisceral muscles for both groups,at rest,Valsalva and contracting state,respectively.Results Transperineal 2D ultrasound images showed that distance between bladder neck and LMPS,distance between cervix and LMPS and distance between rectum ampulla and LMPS of the test group were smaller than those of the control group,with statistically significant distinctions(P<0.05);Transperineal 3D ultrasound images showed that anteroposterior diameter,left-to-right diameter and area of levatorani hiatus and the thickness of pubovisceral muscles of the test group were larger than those of the control group,with statistically significant distinctions(P<0.05).Conclusion Transperineal ultrasound had significant clinical value for diagnosis of female pelvic floor dysfunctions.

关 键 词：二维超声检查 三维超声检查 女性盆底功能障碍性疾病 临床价值 

分 类 号：R711.5[医药卫生—妇产科学]