摘要
目的探讨盆底超声在女性盆底功能障碍性疾病诊断中的应用效果。方法抽取长治市妇幼保健院2019年1月至2021年2月收治的女性盆底功能障碍性疾病患者153例,其中尿失禁者84例为观察1组,盆腔器官脱垂者69例为观察2组;另抽取同期健康体检者60例为对照组。三组均行盆底超声检查,比较静息、缩肛、Valsalva状态下三组膀胱颈移动度、膀胱颈旋转角、膀胱尿道后角、肛提肌裂孔前后径、肛提肌裂孔横径、肛提肌裂孔面积。结果静息状态下,观察1组、2组膀胱颈移动度、膀胱尿道后角、膀胱颈旋转角、肛提肌裂孔前后径、裂孔面积均大于对照组(P均<0.05);三组静息状态下肛提肌裂孔横径比较差异未见统计学意义(P>0.05)。缩肛、Valsalva状态下,观察1组、2组膀胱颈移动度、膀胱颈旋转角、膀胱尿道后角、肛提肌裂孔前后径、肛提肌裂孔横径、肛提肌裂孔面积均大于对照组(P均<0.05)。结论盆底超声可清晰地反映不同状态下女性盆底功能障碍性疾病患者的盆底结构,从而为该病的诊断和治疗方案的评估提供可靠依据。
Objective To investigate the application effect of pelvic floor ultrasound in the diagnosis of female pelvic floor dysfunction.Methods A total of 153 female patients with pelvic floor dysfunction who were admitted to Changzhi Maternal and Child Health Hospital from January 2019 to February 2021 were selected.Among them,84 cases of urinary incontinence were included in observation group 1,and 69 cases of pelvic organ prolapse were included in observation group 2.During the same period,60 healthy subjects served as the control group.And all three groups underwent pelvic ultrasound examination.The bladder neck descend,bladder neck rotation angle,posterior vesicourethral angle,anteroposterior diameter of levator hiatus,transverse diameter of levator hiatus,and area of levator hiatus at resting state,during the anus retraction,and at Valsalva state were compared among the three groups.Results At resting state,the bladder neck descend,bladder neck rotation angle,posterior vesicourethral angle,anteroposterior diameter of levator hiatus,transverse diameter of levator hiatus in observation group 1 and group 2 were bigger than those in control group(all P<0.05);while there was no significant difference in area of levator hiatus at resting state among the three groups(P>0.05).The bladder neck descend,bladder neck rotation angle,posterior vesicourethral angle,anteroposterior diameter of levator hiatus,transverse diameter of levator hiatus,and area of levator hiatus during the anus retraction and at Valsalva state in observation group 1 and group 2 were bigger than those in control group(P<0.05).Conclusions Pelvic floor ultrasound can clearly reflect the pelvic floor structure of female patients with pelvic floor dysfunction under different conditions,so as to provide a reliable basis for the diagnosis and evaluation of treatment options for the disease.
作者
韩红蓉
Han Hongrong(Department of Ultrasound,Changzhi Maternal and Child Health Hospital,Changzhi 046000,China)
出处
《中国实用医刊》
2022年第1期67-70,共4页
Chinese Journal of Practical Medicine
关键词
盆底超声
女性
盆底功能障碍性疾病
膀胱颈移动度
Pelvic floor ultrasound
Female
Pelvic floor dysfunction
Bladder neck descend
