盆底二维及三维超声在女性盆腔器官功能障碍诊断中的作用与应用价值  

Diagnosis and Application Value of Pelvic Floor Two-dimensional and Three-dimensional Ultrasound in Female Pelvic Organ Dysfunction

作　　者：陈少瑜 江岸云 林泽玲 CHEN Shao-yu;JIANG An-yun;LIN Ze-ling(Department of Ultrasound,Jieyang People’s Hospital,Jieyang,Guangdong,522000,China)

机构地区：[1]揭阳市人民医院超声科,广东揭阳522000

出　　处：《黑龙江医学》2022年第7期841-843,共3页Heilongjiang Medical Journal

摘　　要：目的:探究盆底二维及三维超声对女性盆腔器官功能障碍(PFD)的诊断效果,以期为该疾病的诊疗提供指导。方法:选取2020年8月—2021年12月在揭阳市人民医院就诊的80例疑似PFD患者作为研究对象,以临床最终诊断结果作为金标准,全部患者均接受盆底二维及三维超声检查,并依据超声检查方式分为对照组和观察组,对照组采用二维超声检查,观察组在对照组基础上加用三维超声,以临床最终诊断结果为标准,分析二维超声、二维联合三维超声诊断PFD的的准确度、灵敏度、特异度、阳性预测值、阴性预测值及治疗前后不同时期的盆膈裂孔前后径、面积、肛提肌厚度。结果:80例PFD患者中确诊31例,占38.75%。以PFD超声诊断结果为最终标准,盆底二维联合三维超声对PFD的准确度、灵敏度、特异度、阳性预测值、阴性预测值均高于盆底二维超声,差异有统计学意义(χ^(2)=4.679、4.009,P<0.05)。治疗后所有患者静息期、缩肛期、张力期的盆膈裂孔前后径、面积均低于治疗前,肛提肌厚度高于治疗前,差异有统计学意义(t=8.390、5.381、4.550、3.657、4.250、4.202、5.560、5.079、8.791,P<0.05)。结论:二维及三维超声在PFD诊断中具有较高灵敏度、特异度,可有效显示盆腔器官形态特征,为临床诊断提供参考。Objective:To explore the diagnostic effect of pelvic floor two-dimensional and three-dimensional ultrasound on female pelvic organ dysfunction(PFD),so as to provide guidance for the diagnosis and treatment of this disease.Methods:80 patients with suspected PFD who visited the hospital from August 2020 to December 2021 were selected as the research objects.The final clinical diagnosis was regarded as the gold standard.All patients received two-dimensional and three-dimensional ultrasonography of the pelvic floor,and were divided into the control group and the observation group according to the method of ultrasonography.The control group received two-dimensional ultrasonography,and the observation group received three-dimensional ultrasonography on the basis of the control group.The clinical final diagnosis result is used as the standard to analyze the diagnosis of PFD by two-dimensional ultrasound and two-dimensional combined with three-dimensional ultrasound.The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of two-dimensional ultrasound and two-dimensional combined threedimensional ultrasound in the diagnosis of PFD,as well as the anterior and posterior diameter,area and levator ani muscle thickness of the pelvic diaphragmatic hiatus in different periods before and after treatment were analyzed.Results:Among the 80 PFD patients,31 were diagnosed,accounting for 38.75%.Taking the diagnostic results of PFD ultrasound as the final standard,the accuracy,sensitivity,specificity,positive predictive value and negative predictive value of pelvic floor two-dimensional ultrasound combined with three-dimensional ultrasound for PFD were higher than those of pelvic floor two-dimensional ultrasound,the difference was statistically significant(χ^(2)=4.679,4.009,P<0.05).After treatment,the anteroposterior diameter and area of pelvic diaphragm hiatus in resting,anal retraction and tension stages were lower than those before treatment,and the thickness of levator ani muscle was higher tha

关 键 词：盆腔器官功能障碍 二维超声 三维超声 

分 类 号：R730.41[医药卫生—肿瘤]