盆底四维超声评估电刺激生物反馈治疗PFD患者的效果分析  

Four-dimensional ultrasound of pelvic floor can evaluate the effect of electrostimulation biofeedback in patients with PFD

作　　者：程琳 刘淑华[1] Cheng Lin;Liu Shuhua(Department of Ultrasound,Jiangyin People's Hospital,Jiangyin 214400,China)

机构地区：[1]江阴市人民医院超声科,江苏江阴214400

出　　处：《实用妇科内分泌电子杂志》2024年第19期107-109,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨盆底四维超声检查女性盆底肌功能障碍(PFD)患者经电刺激生物反馈治疗的应用价值。方法选取68例PFD患者,均开展电刺激生物反馈治疗,于治疗前后应用盆底四维超声进行检查,评估患者的临床效果。结果治疗后盆底肌力及盆底肌收缩压均高于治疗前,且1 h尿垫试验数据低于治疗前(P<0.05)。治疗后患者静息时、Valsalva动作时的提肛肌厚度高于治疗前,肛提肌裂孔左右径、肛提肌裂孔面积、膀胱后角均低于治疗前(P<0.05)。治疗后膀胱颈移动度及尿道旋转角均低于治疗前(P<0.05)。结论经电刺激生物反馈治疗前后应用盆底四维超声进行检查PFD患者能够有效明确机体的实际情况,进一步了解盆底肌功能,可为临床治疗提供科学依据。Objective To investigate the application value of electrostimulation biofeedback therapy in four dimensional ultrasound of pelvic floor in women with pelvic floor muscle dysfunction(PFD).Methods 68 patients with PFD were selected to undergo biofeedback therapy with electrical stimulation,and four-dimensional ultrasound of the pelvic floor was used before and after treatment to evaluate the clinical effect of the patients.Results The pelvic floor muscle strength and systolic pressure after treatment were higher than before treatment,and the 1-h urine pad test data were lower than before treatment(P<0.05).After treatment,the thickness of levator anal muscle at rest and Valsalva was higher than before treatment,and the diameter of levator anal hiatus,the area of levator anal hiatus and the posterior bladder Angle were lower than before treatment(P<0.05).The movement degree of bladder neck and rotation Angle of urethra after treatment were lower than those before treatment(P<0.05).Conclusion The application of pelvic floor 4D ultrasound to examine PFD patients before and after electrostimulation biofeedback therapy can effectively clarify the actual condition of the body and further understand the pelvic floor muscle function,which can provide scientific basis for clinical treatment.

关 键 词：盆底肌功能障碍 电刺激生物反馈治疗 盆底四维超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.5[医药卫生—诊断学]