TPUS检查对子宫全切术后患者PFD发生情况的评估价值  

Evaluation Value of TPUS Examination on PFD Occurrence in Patients after Hysterectomy

作　　者：季润琰 何伯圣[2] 吴静[1] JI Runyan;HE Bosheng;WU Jing(Ultrasonography Department,A f filiated Nantong Hospital 3 of Nantong University,Nantong 226001,Jiangsu,P.R.China;Department of Imaging,Second Affiliated Hospital Of Nantong University,Nantong 226001,Jiangsu,P.R.China)

机构地区：[1]南通大学附属南通第三医院超声科,江苏南通226001 [2]南通大学第二附属医院影像科,江苏南通226001

出　　处：《影像科学与光化学》2021年第4期601-605,共5页Imaging Science and Photochemistry

基　　金：南通市医学科技发展项目(JQX19003)。

摘　　要：本文旨在分析经会阴超声(TPUS)检查对子宫全切术后患者盆底功能障碍(PFD)发生情况的评估价值。选取行子宫全切术的患者157例,根据术后是否出现PFD,分为未发生PFD组103例和发生PFD组54例,均行TPUS检查。结果显示,与未发生PFD组相比,发生PFD组膀胱下移距离、直肠下移距离、阴道穹窿下移距离、膀胱尿道后角、肛提肌裂孔左右径、前后径、面积、周长升高,尿道倾斜角降低(P<0.05)两组肛提肌厚度比较,差异无统计学意义(P>0.05)。与经会阴二维、三维、四维超声检查单独检查相比,三项联合诊断价值较高(P<0.05)。研究结果表明,子宫全切术患者术后存在PFD,TPUS检查对PFD的诊断价值较为理想,可用于子宫全切术后患者PFD发生的临床诊断评估。This paper aims to analyze the value of transperineal ultrasound(TPUs)in the assessment of pelvic floor dysfunction(PFD)after hysterectomy.One hundred and fifty-seven patients who underwent total hysterectomy were selected.According to whether PFD occurred after operation,they were divided into two groups:103 patients without PFD and 54 patients with PFD.All patients underwent TPUs examination.The results showed that compared with the non PFD group,the bladder downward distance,rectum downward distance,vaginal fornix downward distance,posterior angle of urethra,left and right diameter,anteroposterior diameter,area and perimeter of levator ani hiatus in PFD group increased,and the urethral inclination angle decreased(P<0.05).There was no significant difference in levator ani thickness between the two groups(P>0.05).Compared with transperineal two-dimensional,three-dimensional and four-dimensional ultrasound examination alone,the diagnostic value of three combined examinations was higher(P<0.05).In conclusion,it is found that patients with PFD after hysterectomy,TPUs examination has ideal diagnostic value for PFD,which can be used for clinical diagnosis and evaluation of PFD after hysterectomy.

关 键 词：经会阴二维超声 经会阴三维超声 经会阴四维超声 子宫全切术 盆底功能障碍 

分 类 号：R445.1[医药卫生—影像医学与核医学] R713.42[医药卫生—诊断学]