直肠脱垂女性患者经会阴盆底超声测量参数特征  

The Characteristics of Transperineal Pelvic Floor Ultrasound Parameters in Patients with Rectal Prolapse

作　　者：邵丹琪 邱建平[2] 余俊丽[1] 刁翔文[3] 苏丹[4] 刘广健[1] Shao Danqi;Qiu Jianping;Yu Junli;Diao Xiangwen;Su Dan;Liu Guangjian(Department of Ultrasonography,Sun Yat-sen University,Guangzhou 510655,China;Department of Radiology,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,China;Department of Emergency,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China;Department of General Surgery(Coloproctology),The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,China)

机构地区：[1]中山大学附属第六医院超声科,广州市510655 [2]中山大学附属第六医院放射科,广州市510655 [3]中山大学附属第一医院急诊科,广州市510080 [4]中山大学附属第六医院普通外科(肛肠外科),广州市510655

出　　处：《中国超声医学杂志》2024年第4期445-448,共4页Chinese Journal of Ultrasound in Medicine

基　　金：国家临床重点专科,广东省消化系统疾病临床医学研究中心项目(No.2020B1111170004)。

摘　　要：目的探索直肠脱垂女性患者的经会阴盆底超声参数及其潜在临床意义。方法回顾分析所有同步行经会阴盆底超声检查以及放射学排粪造影女性患者的临床和影像资料。结果共纳入181例患者,其中直肠脱垂112例、非直肠脱垂69例。经会阴盆底超声显示,直肠脱垂组最大Valsalva动作状态膀胱颈位置和直肠壶腹部位置低于非直肠脱垂组,而静息以及最大Valsalva动作状态肛提肌裂孔面积均较非直肠脱垂组增大。多因素Logistic分析显示年龄和最大Valsalva动作状态肛提肌裂孔面积与直肠脱垂独立正相关。结论直肠脱垂患者与非直肠脱垂患者的经会阴盆底超声特点存在差异,最大Valsalva动作状态肛提肌裂孔面积可协助评估直肠脱垂。Objective To investigate the parameters of transperineal pelvic floor ultrasound and their potential clinical significance in female patients with rectal prolapse.Methods We retrospectively analyzed the clinical and imaging data of female patients who underwent transperineal pelvic floor ultrasound and radiological defecography.Results A total of 181 patients were enrolled in the study,including 112 cases of rectal prolapse and 69 cases of non-rectal prolapse.The group of rectal prolapse demonstrated a significantly lower bladder neck position and rectal ampulla position during maximal Valsalva maneuver,and a larger area of the levator hiatus both at rest and on Valsalva maneuver as compared to the non-rectal prolapse group.Multivariate analysis showed that rectal prolapse was positively associated with age and levator hiatal area during maximal Valsalva maneuver.Conclusions Patients with rectal prolapse exhibit distinct features in transperineal pelvic floor ultrasound compared to non-prolapse patients.The levator hiatal area during maximal Valsalva maneuver has potential value in the assessment of rectal prolapse.

关 键 词：直肠脱垂 盆底超声 肛提肌裂孔面积 

分 类 号：R445.1[医药卫生—影像医学与核医学] R574.63[医药卫生—诊断学]