盆底四维超声在女性出口梗阻型便秘诊断中的应用价值  

Application value of pelvic floor four-dimensional ultrasound in the diagnosis of female outlet obstruction constipation

作　　者：陆会玲 张利 何柳 吴聃 杨方瑞 LU Huiling;ZHANG Li;HE Liu;WU Dan;YANG Fangrui(Ultrasound Medicine Department,Baoji Central Hospital,Baoji 721008,China)

机构地区：[1]宝鸡市中心医院超声医学科,陕西宝鸡721008

出　　处：《临床医学研究与实践》2023年第24期110-113,共4页Clinical Research and Practice

基　　金：宝鸡市中心医院科研基金项目(No.BZXJJMS-2020-4)。

摘　　要：目的 探讨盆底四维超声在女性出口梗阻型便秘(OOC)诊断中的应用价值。方法 选取2019年6月至2021年6月我院收治的168例女性便秘患者为研究对象。首先进行盆底四维超声检查,判断是否存在OOC,然后所有患者进行直肠指检。将盆底四维超声检查结果和直肠指检结果分别与临床最终诊断结果进行对比分析,比较盆底四维超声、直肠指检对直肠前突的诊断结果。结果 168例临床怀疑存在OOC的患者中,盆底四维超声检查诊断142例OOC,其中64例直肠前突,66例会阴体过度运动,5例肠疝,4例盆底失迟缓,3例肠黏膜脱垂。临床最终确诊135例OOC患者,其中66例直肠前突,51例会阴体过度运动,7例肠疝,9例盆底失迟缓,2例肠黏膜脱垂。盆底四维超声诊断结果与临床最终诊断结果无显著差异(P=0.281)。168例患者中,直肠指检诊断97例OOC患者,其中69例直肠前突,8例肠疝,16例盆底失迟缓,4例肠黏膜脱垂。直肠指检诊断结果与临床最终诊断结果比较,差异具有统计学意义(P=0.000)。对于直肠前突的诊断,盆底四维超声诊断64例,直肠指检诊断69例,盆底四维超声与直肠指检对直肠前突的诊断具有较好的一致性(Kappa值为0.621,P<0.001)。结论 盆底四维超声对女性OOC能作出准确的诊断,与直肠指检相比有更高的应用价值。Objective To explore the application value of pelvic floor four-dimensional ultrasound in the diagnosis of female outlet obstructive constipation(OOC).Methods A total of 168 female patients with constipation admitted in our hospital from June 2019 to June 2021 were selected as the research objects.Firstly,pelvic floor four-dimensional ultrasound was performed to determine whether there was OOC,and then all patients underwent digital rectal examination.The results of pelvic floor four-dimensional ultrasound and digital rectal examination were compared with the final clinical diagnosis results,and the diagnostic results of pelvic floor four-dimensional ultrasound and digital rectal examination for rectocele were compared.Results Among the 168 patients with clinical suspicion of OOC,142 cases of OOC were diagnosed by pelvic floor four-dimensional ultrasound,including 64 cases of rectocele,66 cases of perineal hypermobility,5 cases of intestinal hernia,4 cases of pelvic floor retardation,and 3 cases of intestinal mucosal prolapse.A total of 135 patients with OOC were finally diagnosed clinically,including 66 cases of rectocele,51 cases of perineal hyperkinesia,7 cases of intestinal hernia,9 cases of pelvic floor retardation,and 2 cases of intestinal mucosal prolapse.There was no significant difference between the results of pelvic floor four-dimensional ultrasound diagnosis and the final clinical diagnosis(P=0.281).Among 168 patients,digital rectal examination diagnosed 97 patients with OOC,including 69 cases of rectocele,8 cases of intestinal hernia,16 cases of pelvic floor retardation,and 4 cases of intestinal mucosal prolapse.There was a significant difference between the results of digital rectal examination and the final clinical diagnosis(P=0.000).For the diagnosis of rectocele,64 cases were diagnosed by pelvic floor four-dimensional ultrasound,and 69 cases were diagnosed by digital rectal examination;pelvic floor four-dimensional ultrasound and digital rectal examination has goog consistency in the diagnosis o

关 键 词：出口梗阻型便秘 盆底四维超声 直肠指诊 直肠前突 会阴体过度运动 

分 类 号：R574.6[医药卫生—消化系统]