经会阴盆底超声对女性患者直肠前突的诊断价值  

Diagnostic Value of Transperineal Pelvic Floor Ultrasonography in Female Patients with Rectocele

作　　者：陈浩 穆靓[1] 张嘉琪 南淑良 张西玲[1] 徐姣姣[1] 薛宇红 Chen Hao;Mu Liang;Zhang Jiaqi;Nan Shuliang;Zhang Xiling;Xu Jiaojiao;Xue Yuhong(Shaanxi Provincial People's Hospital,Xi'an 710061,China;Northwestern Polytechnical University,Xi'an 710129,China)

机构地区：[1]陕西省人民医院,西安市710061 [2]西北工业大学,西安市710129

出　　处：《中国超声医学杂志》2023年第11期1284-1286,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨盆底超声对女性患者直肠前突(RC)的诊断价值。方法选取确诊为RC的女性患者62例,应用盆底超声依次行未灌注及灌注耦合剂检查,以X线排粪造影为金标准,分析两种方式对RC的诊断准确度。结果两种方式诊断RC符合率分别为87.10%、96.77%,差异有统计学意义(P<0.05);两种方式对RC不同分度总诊断符合率分别为80.65%、93.55%,差异有统计学意义(P<0.05);两种方式对轻度RC的诊断比较差异有统计学意义(P<0.05),对中、重度RC的诊断比较差异均无统计学意义(P=0.625、P=1.00)。结论经会阴盆底超声用于RC的诊断及分度,方便、快捷且具有较高的诊断价值,必要时灌注耦合剂可提高RC的诊断及分度符合率。Objective This study was aimed to estimate the diagnostic value of transperineal pelvic floor ultrasound in female patients with rectocele(RC).Methods A total of 62 female patients diagnosed with rectocele.Pelvic floor ultrasound was performed without and with coupler perfusion in turn.X-ray defecography was used as the gold standard to analyze the diagnostic accuracy of RC by the two methods.Results The diagnostic accuracy of the two methods were 87.10%and 96.77%respectively(P<0.05);The accuracy of the two methods in the diagnosis of RC with different grades reached 80.65%and 93.55%respectively(P<0.05);Specifically,there was significant difference between the two methods in the diagnosis of mild RC(P<o.05),but no significant difference was found in the diagnosis of moderate and severe RC(P=0.625,and 1.00,respectively).ConclusionssTransperinealpelvic floor ultrasound can be helpful in the diagnosis and grading of RC.If necessary,coupled-agent perfusion can improve the diagnostic and grading coincidence of RC.

关 键 词：盆底超声 耦合剂灌注 直肠前突 

分 类 号：R445.1[医药卫生—影像医学与核医学] R574[医药卫生—诊断学]