四维超声在剖宫产术后盆底功能障碍性疾病评估中的应用  

Application of 4D ultrasound in the evaluation of pelvic floor dysfunction after cesarean section

作　　者：任双丽[1] 郭红梅[1] 徐秋红[1] 吴斯瑶 陈秋妍[1] 朱荷香 黄映聪 REN Shuang-li;GUO Hong-mei;XU Qiu-hong;WU Si-yao;CHEN Qiu-yan;ZHU He-xiang;HUANG Ying-cong(Department of Ultrasound,Dongguan Maternal and Child Health Hospital,Dongguan 523000,Guangdong,China)

机构地区：[1]东莞市妇幼保健院超声科,广东东莞523000

出　　处：《川北医学院学报》2021年第5期615-617,共3页Journal of North Sichuan Medical College

基　　金：广东省东莞市社会科技发展项目(2018507150071493)。

摘　　要：目的:探究四维(4D)超声在剖宫产术后盆底功能障碍性疾病(FPFD)评估中的应用效果。方法:选取100例剖宫产术后FPFD患者作为研究组,100名盆底功能检查正常的产后女性作为对照组。两组均行4D彩色多普勒超声诊断,分析两组静息及Valsalva动作下膀胱尿道后角及肛提肌超声参数,分析两组膀胱颈移动度及尿道旋转角。结果:静息状态下,研究组肛提肌裂孔面积(LHA)、肛提肌厚度(LAT)高于对照组(P<0.05),但两组膀胱尿道后角与肛提肌夹角比较,差异无统计学意义(P>0.05);Valsalva动作下研究组膀胱尿道后角、LAT、肛提肌夹角、LHA均与对照组存在统计学差异(P<0.001);研究组膀胱颈移动度、尿道旋转度均高于对照组(P<0.001)。结论:4D超声在剖宫产术后FPFD评估中的作用显著,能较准确诊断肛提肌超声参数等,明确静息与Valsalva动作盆底指标间的差异性。Objective:To explore the application effect of 4D ultrasound in the evaluation of pelvic floor dysfunction(FPFD)after cesarean section.Methods:100 patients with FPFD after cesarean section were selected as the study group,and 100 postpartum women with normal pelvic floor function were selected as the control group.Both groups were diagnosed by 4D color Doppler ultrasound,and the ultrasonic parameters of the posterior angle of bladder and urethra and levator ani muscle were analyzed under resting and Valsalva action,the bladder neck movement and urethral rotation angle were analyzed.Results:The area of levator ani hiatus(LHA)and levator ani thickness(LAT)in the study group were higher than those in the control group at rest(P<0.05),there was no significant difference between the two groups in the angle between the posterior corner of bladder and urethra and levator ani muscle(P>0.05).The posterior angle of bladder and urethra,LAT,levator ani angle and LHA in the study group were diffenent from than those in the control group under Valsalva action(P<0.05).The bladder neck movement and urethral rotation of the study group were significantly higher than those of the control group(P<0.05).Conclusion:4D ultrasound plays a significant role in the evaluation of pelvic floor dysfunction after cesarean section,which can accurately diagnose and measure the ultrasound parameters of levator ani muscle,and clarify the differences between resting and Valsalva action pelvic floor indexes.

关 键 词：盆底功能障碍疾病 四维超声 剖宫产术 肛提肌超声参数 

分 类 号：R714.46[医药卫生—妇产科学] R445.1[医药卫生—临床医学]