盆底超声评估不同程度子宫脱垂患者肛直肠角变化的临床价值  

Clinical value of pelvic floor ultrasound in evaluating the changes of norectal angle in patients with different degrees of uterine prolapse

作　　者：张诗婕 吕国荣 柳舜兰[1] 徐武 何韶铮[1] ZHANG Shijie;LV Guorong;LIU Shunlan;XU Wu;HE Shaozheng(Department of Ultrasound Medicine,the Second Affiliated Hospital of Fujian Medical University,Fujian 362000,China)

机构地区：[1]福建医科大学附属第二医院超声医学科,福建省泉州市362000 [2]泉州医学高等专科学校

出　　处：《临床超声医学杂志》2023年第7期532-535,共4页Journal of Clinical Ultrasound in Medicine

基　　金：福建省自然科学基金项目(2021J01123389);福建省医学创新课题(2022CXB010)。

摘　　要：目的应用盆底超声评估不同程度子宫脱垂患者静息、缩肛和Valsalva状态下肛直肠角(ARA)及其变化,探讨其临床价值。方法收集于我院行盆底超声检查的女性131例,根据子宫脱垂程度分为无脱垂组(47例)、Ⅰ度脱垂组(40例)和Ⅱ度及以上脱垂组(44例)。应用盆底超声测量静息、缩肛和Valsalva状态下ARA(rARA、cARA和vARA),计算缩肛、Valsalva状态下ARA变化,比较各组上述参数的差异。结果与无脱垂组比较,Ⅰ度脱垂组vARA和Valsalva状态下ARA变化均减小,Ⅱ度及以上脱垂组vARA和Valsalva状态下ARA变化均增大,差异均有统计学意义(均P<0.0167);与Ⅰ度脱垂组比较,Ⅱ度及以上脱垂组vARA和Valsalva状态下ARA变化均增大,差异均有统计学意义(均P<0.0167)。结论应用盆底超声可以评估不同程度子宫脱垂患者ARA及其变化,其中vARA和Valsalva状态下ARA变化与子宫脱垂程度有关。Objective To evaluate the anorectal angle(ARA)and its changes in resting,rectosing and Valsalva states of uterine prolapse by pelvic floor ultrasound,and to explore its clinical value.Methods A total of 131 women who underwent pelvic floor ultrasound examination in our hospital were divided into non-prolapse group(47 cases),stageⅠprolapse group(40 cases),and stageⅡand above prolapse group(44 cases)according to the degree of uterine prolapse.ARA in resting,contraction and Valsalva states(rARA,cARA and vARA)were measured by pelvic floor ultrasound,and the changes of ARA in contraction and Valsalva states were calculated,and the differences of the above parameters among groups were compared.Results Compared with the non-prolapse group,vARA and the changes of ARA in Valsalva state decreased in the stageⅠprolapse group,and increased in the stageⅡand above prolapse group,with statistical significances(all P<0.0167).Compared with the stageⅠprolapse group,vARA and the changes of ARA in Valsalva state in the stageⅡand above prolapse group increased,and the differences were statistically significant(all P<0.0167).Conclusion The application of pelvic floor ultrasound can evaluate the ARA and its changes in patients with different degrees of uterine prolapse,among which vARA and the changes of ARA in Valsalva state are related to the degree of uterine prolapse.

关 键 词：超声检查 盆底 子宫脱垂 肛直肠角 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.23[医药卫生—诊断学]