女性盆底功能障碍性疾病的盆底超声特点  

Characteristics of pelvic floor ultrasound in women with pelvic floor dysfunction

作　　者：漆柳青[1] 邹叶萍[1] 曾纯杰 梅苏珍 QI Liu-qing;ZOU Ye-ping;ZENG Chun-jie;MEI Su-zhen(Department of Ultrasound,Sanming Second Hospital,Fujian Province,Sanming366000,China;Department of Gynecology,Sanming Second Hospital,Fujian Province,Sanming366000,China;Department of Obstetrics,Sanming Second Hospital,Fujian Province,Sanming366000,China)

机构地区：[1]福建省三明市第二医院超声科,福建三明366000 [2]福建省三明市第二医院妇科,福建三明366000 [3]福建省三明市第二医院产科,福建三明366000

出　　处：《中国当代医药》2021年第14期155-157,共3页China Modern Medicine

摘　　要：目的探讨女性盆底功能障碍性疾病的盆底超声特点。方法选取2018年9月~2020年8月福建省三明市第二医院收治的968例女性盆底功能障碍性疾病患者作为观察组,选取2018年9月~2020年8月福建省三明市第二医院收治的968例女性非盆底功能障碍性疾病患者作为参照组。临床均选择盆底超声方法对两组女性患者展开疾病诊断,就缩肛状态超声结果、静息状态超声结果以及瓦氏试验(Valsalva)状态超声结果展开比较。结果观察组患者的缩肛状态的超声肛提肌裂孔前后径(M)为(7.11±1.39)cm,肛提肌裂孔横径(N)为(6.79±1.29)cm,均长于参照组的(5.53±1.29)cm和(5.10±1.03)cm,观察组患者缩肛状态的肛提肌左右支夹角(γ)为(87.92±11.13)°,肛提肌裂孔面积(A)为(19.95±3.39)cm2,均大于参照组的(74.65±9.45)°和(12.55±2.52)cm2,观察组患者缩肛状态的(C)为(0.99±0.37)cm,厚于参照组的(0.81±0.29)cm,差异有统计学意义(P<0.05);观察组患者静息状态的超声M为(6.69±1.27)cm,N为(6.53±1.25)cm,均长于参照组的(5.65±1.05)cm和(5.12±1.06)cm,观察组患者静息状态的γ为(85.65±10.03)°,A为(18.55±3.23)cm2,均大于参照组的(73.27±8.67)°和(13.12±2.19)cm2,观察组患者静息状态的C为(0.96±0.32)cm,厚于参照组的(0.82±0.23)cm,差异有统计学意义(P<0.05);观察组患者Valsalva状态的超声M为(7.12±1.39)cm,N为(6.83±1.41)cm,均长于参照组的(5.69±1.30)cm和N(5.44±1.37)cm,观察组患者Valsalva状态的γ为(88.25±11.43)°,A为(19.95±3.53)cm2,均大于参照组的(72.43±8.95)°和A(15.69±3.03)cm2,观察组患者Valsalva状态的C为(0.99±0.36)cm,厚于参照组的(0.77±0.30)cm,差异有统计学意义(P<0.05)。结论运用盆底超声方法,可为女性盆底功能障碍性疾病患者的有效诊断提供信息。Objective To explore the characteristics of pelvic floor ultrasound in women with pelvic floor dysfunction.Methods A total of 968 female patients with pelvic floor dysfunction admitted to Sanming Second Hospital,Fujian Province from September 2018 to August 2020 were selected as the observation group.A total of 968 female patients with non-pelvic floor dysfunction admitted to Sanming Second Hospital,Fujian Province from September 2018 to August 2020 were selected as the reference group.Pelvic floor ultrasound was used to diagnose the disease in both groups clinically.The ultrasound results of constrictive anal state,the resting state,and Valsalva test state were compared.Results The anteroposterior diameter(M)of levator ani muscle hiatus by ultrasound at the constrictive anal state in the observation group was(7.11±1.39)cm,and the transverse diameter(N)of levator ani muscle hiatus by ultrasound at the constrictive anal state in the observation group was(6.79±1.29)cm,both of which were longer than(5.53±1.29)cm and(5.10±1.03)cm in the control group;the angle(γ)between the left and right branches of levator ani muscle by ultrasound at the constrictive anal state in the observation group was(87.92±11.13)°,and the hiatus area(A)of levator ani muscle by ultrasound at the constrictive anal state in the observation group was(19.95±3.39)cm2,both of which were higher than those of the control group of(74.65±9.45)°and(12.55±2.52)cm2;the pectineal visceral muscle thickness(C)by ultrasound at the constrictive anal state of the observation group was(0.99±0.37)cm,which was thicker than that of the control group of(0.81±0.29)cm,the differences were statistically significant(P<0.05).The ultrasound M and N of the observation group in the resting state were(6.69±1.27)cm and(6.53±1.25)cm,both longer than those of the control group of(5.65±1.05)cm and(5.12±1.06)cm;theγof the observation group in the resting state was(85.65±10.03)°,A of the observation group in the resting state was(18.55±3.23)cm2,higher than(73.2

关 键 词：盆底超声 女性盆底功能障碍性疾病 缩肛状态超声结果 静息状态超声结果 Valsalva状态超声结果 

分 类 号：R714[医药卫生—妇产科学]