不同脱垂分型的膀胱前壁膨出患者经会阴实时三维盆底超声参数分析  

Analysis of transperineal real-time three-dimensional pelvic floor ultrasound parameters in patients with anterior wall cystocele of different prolapse types

作　　者：黄秋红 Huang Qiu-hong(Ultrasound Department of Shangrao Maternal and Child Health Hospital,Shangrao334000,Jiangxi,China)

机构地区：[1]上饶市妇幼保健院超声科,江西上饶334000

出　　处：《四川生理科学杂志》2024年第9期1990-1992,2008,共4页

摘　　要：目的:探究不同脱垂分型的膀胱前壁膨出患者经会阴实时三维盆底超声参数特征。方法:回顾性分析我院2023年1月~2023年12月就诊94例膀胱前壁膨出患者临床资料纳入观察组,回顾性分析同期80例健康体检临床资料纳入对照组。两组入院后均接受经会阴实时三维盆底超声检查,对比其超声参数的变化。依据综合检查结果将观察组样本分为不同脱垂分型,对比不同分型患者超声参数差异,同时利用Spearman法分析脱垂分型与超声参数间相关性。结果:观察组患者裂孔面积、膀胱颈移动距离、膀胱后角均显著大于对照组(P<0.05)。不同分型膀胱膨出患者其三维超声参数相关指标存在显著差异,其脱垂分型与裂孔面积、膀胱颈移动距离、膀胱后角均存在显著相关性(P<0.05)。结论:不同分型膀胱前壁膨出患者三维盆底超声参数存在明显差异,可为临床诊断以及症状评估提供有效的信息。Objective:To explore the characteristics of transperineal real-time three-dimensional pelvic floor ultrasound parameters in patients with different prolapse types of anterior wall cystocele.Methods:The clinical data of 94 patients with anterior wall cystocele in the hospital were retrospectively analyzed from January 2023 to December 2023,and the patients were included in observation group,and 80 healthy subjects with physical examination during the same period were retrospectively analyzed and enrolled as control group.Both groups received transperineal real-time three-dimensional pelvic floor ultrasound examination after admission,and the changes of ultrasound parameters were compared.According to the results of comprehensive examination,the samples in the observation group were divided into different prolapse types,and the differences in ultrasound parameters were compared among patients with different types.Spearman method was used to analyze the correlation between prolapse type and ultrasound parameters.Results:The hiatus area,bladder neck displacement distance,and posterior horn of bladder in observation group were significantly larger than those in control group(P<0.05).There were significant differences in the related indicators of three-dimensional ultrasound parameters among patients with different types of cystocele.The prolapse type was significantly correlated with hiatus area,displacement distance of bladder neck,and posterior horn of bladder(P<0.05).Conclusion:There are obvious differences in three-dimensional pelvic floor ultrasound parameters among patients with different types of anterior wall cystocele,which can provide effective information for clinical diagnosis and symptom evaluation.

关 键 词：膀胱前壁膨出 脱垂分型 三维盆底超声 Spearman 

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