经会阴超声对不同生育史女性盆底功能障碍性疾病的临床评估  

Clinical evaluation of pelvic floor dysfunction in women with different reproductive history by transperineal ultrasound

作　　者：朱惠欢 陈海燕[1] 高影嫦 ZHU Hui-huan;CHEN Hai-yan;GAO Ying-chang(Department of Ultrasound,Zhongshan People′s Hospital of Guangdong Province,Zhongshan528400,China)

机构地区：[1]广东省中山市人民医院超声科,广东中山528400

出　　处：《中国当代医药》2020年第29期149-151,共3页China Modern Medicine

基　　金：广东省中山市医学科研项目(2019A020163)。

摘　　要：目的探讨经会阴超声在不同生育史女性盆底功能障碍性疾病中的诊断价值。方法选取2019年3月~2020年2月于我院行经会阴超声检查的600例女性患者为研究对象,根据其生育史分为未育组(200例)、经阴道分娩组(200例)和剖宫产组(200例)。对所有患者行经会阴盆底超声检查,分别记录并分析静息状态下二维超声及Valsalva动作下盆底三维超声结果。结果本研究600例女性中,诊断盆底功能障碍性疾病240例,诊断阳性率为40%。其中经阴道分娩组确诊135例,剖宫产组确诊90例,未育组确诊15例。经阴道分娩组的诊断阳性率高于剖宫产组及未育组,差异有统计学意义(P<0.05)。剖宫产组的诊断阳性率高于未育组,差异有统计学意义(P<0.05)。经阴道分娩组及剖宫产组的膀胱颈下降距离、子宫颈下降距离及尿道旋转度、盆膈裂孔面积及肛提肌厚度数值高于未育组,膀胱颈到耻骨联合后下缘及子宫颈到耻骨联合后下缘数值、耻骨直肠肌厚度低于未育组,差异有统计学意义(P<0.05)。结论经会阴超声检查对女性盆底功能障碍性疾病的筛查和诊断有较大的临床应用价值,值得推广应用。Objective To explore the diagnostic value of transperineal ultrasound for pelvic floor dysfunction in women with different reproductive history.Methods A total of 600 women patients who underwent transperineal ultrasound in our hospital from March 2019 to February 2020 were selected as the study objects.According to their reproductive history,they were divided into the non-fertility group(200 cases),the vaginal delivery group(200 cases)and the cesarean section group(200 cases).All patients underwent transperineal ultrasound examination,and the results of 2D ultrasound under resting state and 3D ultrasound under Valsalva action were recorded and analyzed.Results In the 600 women,there were 240 cases of pelvic floor dysfunction,and the positive rate was 40%.Among them,135 cases were confirmed in the vaginal delivery group,90 cases were confirmed in the cesarean section group,and 15 cases were confirmed in the non-fertility group.The positive rate of diagnosis in the vaginal delivery group were higher than those in the cesarean section group and the non-fertility group,and the differences were statistically significant(P<0.05).The positive rate of diagnosis in cesarean section group was higher than that in non-fertility group,and the difference was statistically significant(P<0.05).The descending distance of bladder neck,the descending distance of cervix uteri,the rotation degree of urethra,the area of pelvic diaphragmatic hiatus and the thickness of levator ani muscle in the vaginal delivery group and the cesarean section group were higher than those in the non fertile group,the values from bladder neck to the posterior lower edge of pubic symphysis and from cervix to posterior lower edge of pubic symphysis,and the thickness of pubic rectum muscle in the vaginal delivery group and the cesarean section group were lower than those in the non fertile group,the differences were statistically significant(P<0.05).Conclusion Transperineal ultrasound has great clinical application value in the screening and diagnosis of pe

关 键 词：经会阴超声 盆底功能障碍 诊断 生育史 

分 类 号：R445.1[医药卫生—影像医学与核医学]