经会阴四维超声联合POP-Q评分在盆底脏器脱垂临床中的应用效果  

The Effect of Transperineal Four-dimensional Ultrasound Combined with POP-Q Scoring in the Clinical Application of Pelvic Floor Organ Prolapse

作　　者：张琳琳 施兴华 周玛丽 钱红燕[4] 张红健 ZHANG Linlin;SHI Xinghua;ZHOU Mali;QIAN Hongyan;ZHANG Hongjian(Department of Ultrasound,Qidong Maternal and Child Health Hospital,Nantong,Jiangsu Province,226200 China;Department of Gynecology,Qidong Maternal and Child Health Hospital,Nantong,Jiangsu Province,226200 China;Department of Ultrasound,Xiaoshan Hospital,Xiaoshan,Zhejiang Province,311200 China;Department of Gynecology,Zhejiang Xiaoshan Hospital,Xiaoshan,Zhejiang Province,311200 China;Qidong Hospital of Traditional Chinese Medicine,Nantong,Jiangsu Province,226200 China)

机构地区：[1]启东市妇幼保健院超声科,江苏南通226200 [2]启东市妇幼保健院妇科,江苏南通226200 [3]浙江萧山医院超声科,浙江萧山311200 [4]浙江萧山医院妇科,浙江萧山311200 [5]启东市中医院,江苏南通226200

出　　处：《世界复合医学》2023年第6期98-101,105,共5页World Journal of Complex Medicine

基　　金：南通市基础科学研究和社会民生科技计划项目(MSZ2022108)。

摘　　要：目的探讨经会阴四维超声联合盆腔器官脱垂定量评估系统(Pelvic Organ Prolapse Quantitation,POP-Q)在盆底脏器脱垂临床中的应用效果。方法选取2020年10月—2022年12月启东市妇幼保健院收治的32例盆底器官脱垂患者为观察组,并选择同期32例未生育健康女性为对照组。两组均接受盆底四维超声,观察不同状态下盆隔裂孔周长、盆隔裂孔面积、不同程度脱垂女性盆隔裂孔周长及盆隔裂孔面积。结果静息、Valsalva、缩肛状态下,观察组盆膈裂孔周长、盆膈裂孔面积分别为(15.62±1.43)、(15.61±1.45)、(13.81±1.74)cm及(16.21±3.08)、(25.81±5.83)、(13.35±2.91)cm2,均高于对照组的,差异有统计学意义(t=9.082、4.403、6.339、8.896、10.906、7.099,P<0.001)。观察组Valsalva-静息及静息-缩肛时盆膈裂孔周长、盆膈裂孔面积比对照组大,差异有统计学意义(P<0.05)。重度组静息、Valsalva、缩肛状态下盆膈裂孔周长及盆膈裂孔面积较轻中度组大,差异有统计学意义(P<0.05)。结论经会阴四维超声盆膈裂孔解剖结构和功能变化检查能够反映盆底脏器脱垂患者部分功能变化,盆底脏器脱垂严重程度与盆膈裂孔大小存在紧密联系。Objective To investigate the application effect of transperineal four-dimensional ultrasound combined with Pelvic Organ Prolapse Quantitation(POP-Q)score in pelvic floor organ prolapse clinic.Methods A total of 32 cases of patients with pelvic floor organ prolapse admitted to Qidong Maternal and Child Health Hospital from October 2020 to December 2022 were selected as the observation group,and 32 healthy women who did not give birth during the same period were selected as the control group.Both groups received pelvic floor fourdimensional ultrasound,observed the pelvic septal fissure circumference,pelvic septal fissure area,pelvic septal fissure circumference and pelvic septal fissure area of women with different degrees of prolapse in different states.Results The pelvic diaphragm fissure circumference and pelvic diaphragm fissure area in the observation group under resting,Valsalva,and retracted state were(15.62±1.43)cm,(15.61±1.45)cm,(13.81±1.74)cm,(16.21±3.08)cm2,(25.81±5.83)cm2,and(13.35±2.91)cm2,respectively,were higher than those in the control group,the difference was statistically significant(t=9.082,4.403,6.339,8.896,10.906,7.099,P<0.001).The observation group in the circumference and area of the pelvic diaphragmatic hiatus during rest and rest anal contraction were larger than those of the control group,the difference was statistically significant(P<0.05).The circumference and area of the pelvic diaphragmatic hiatus in the severe group under resting,Valsalva,and anal constriction conditions were larger than those in the mild to moderate group,the difference was statistically significant(P<0.05).Conclusion Transperineal four-dimensional ultrasound pelvic diaphragmatic fissure anatomical structure and functional changes can reflect some of the functional changes in patients with pelvic floor organ prolapse,and the severity of pelvic floor organ prolapse and the size of the pelvic diaphragmatic fissure have a close relationship.

关 键 词：盆底脏器脱垂 会阴四维超声 盆膈裂孔 POP-Q评分 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.2[医药卫生—诊断学]