经会阴超声诊断女性前盆腔功能障碍性疾病的应用价值

Diagnostic value of transperineal ultrasound for anterior pelvic dysfunction in women

目的总结经会阴超声诊断女性前盆腔功能障碍性疾病的临床应用价值。方法将2015年1月至2018年1月本院收治的40例(已被确诊)前盆腔功能障碍性疾病者作为研究对象,设为实验组,并选择同期与我院接受健康体检(前盆腔功能正常者)40例设为对照组,均执行经会阴超声检查,比较两组临床影像学资料。结果实验组膀胱颈下降度(BND)、膀胱颈旋转角度、尿道旋转角度低于对照组,但两组差异无统计学意义;实验组安静状态膀胱尿道后角、最大Valsalva动作膀胱尿道后角明显高于对照组,差异具有统计学意义(P<0.05);在实验组内合并膀胱脱垂患者BND、尿道旋转角度、膀胱颈旋转角度、安静状态膀胱尿道后角、最大Valsalva动作膀胱尿道后角均明显高于非合并膀胱脱垂患者,差异具有统计学意义(P<0.05)。结论在女性前盆腔功能障碍性疾病的诊断中,经会阴超声检查具有快捷、无创、准确等优势,利于临床明确患者前盆腔解剖位置、功能改变等情况,为女性前盆腔功能障碍性疾病的早期诊断、后续治疗、预后效果评价提供重要证据,值得临床推广应用。

Objective To summarize the clinical value of transperineal ultrasonography in the diagnosis of female anterior pelvic dysfunction. Methods From January 2015 to January 2018, 40 patients with pre-pelvic dysfunction were selected as experimental group. 40 patients with normal former pelvic function were selected as the control group. All patients were examined by transperineal ultrasound and the clinical imaging data of the two groups were compared. Results The （BND）,bladder neck rotation angle and urethral rotation angle in the experimental group were lower than those in the control group, but there was no significant difference between the two groups. The posterior angle of bladder urethra and the maximal Valsalva action of bladder urethra in group A were significantly higher than those in control group （P〈0.05）, the BND,urethral rotation angle and bladder neck rotation angle of patients with bladder prolapse in the experimental group were significantly higher than those in the control group（P〈0.05）. The posterior horn of bladder urethra and the maximal Valsalva action of bladder urethra in quiet state were significantly higher than those in patients without bladder prolapse （P〈0.05）. Conclusion In the diagnosis of female anterior pelvic dysfunction disease, transperineal ultrasonography has the advantages of fast, non-invasive and accurate, which is beneficial to the clinical diagnosis of patients. The anatomic location and functional changes of anterior pelvic cavity provide important evidence for the early diagnosis, follow-up treatment and prognosis evaluation of female anterior pelvic dysfunction disease, and are worthy of clinical popularization and application.