三维超声检查对女性盆底功能障碍性疾病的诊断价值

Clinical value of three-dimensional ultrasound in the diagnosis of female pelvic floor dysfunction disease

目的观察在诊断女性盆底功能障碍性疾病过程中使用三维超声所能获得的临床价值。方法选择2016年6月至2017年12月在东阳市人民医院接受治疗的盆底功能障碍疾病女性患者95例作为观察组,选择同期在该院接受健康体检的健康女性90例作为对照组,均接受三维超声检查,分析检查结果及声像图表现。结果观察组静息期盆膈裂孔前后径(65.58±6.38)cm、面积(20.01±3.98)cm^2,张力期盆膈裂孔前后径(68.40±5.54)cm、面积(22.50±3.12)cm^2,缩肛期盆膈裂孔前后径(60.17±5.55)cm、面积(19.28±2.52)cm^2均显著高于对照组的(51.84±3.46)cm、(13.93±2.09)cm^2、(53.65±4.23)cm、(14.60±2.95)cm^2、(48.95±3.48)cm、(13.45±1.76)cm^2(t=18.066、12.903、20.272、13.200、16.369、18.150,P=0.000、0.000、0.000、0.000、0.000、0.000),而静息期、张力期、缩肛期耻骨直肠肌厚度(10.28±1.96)cm、(10.63±1.57)cm、(10.01±1.13)cm均稍低于对照组的(10.28±1.96)cm、(10.63±1.57)cm、(10.35±1.49)cm(t=1.015、1.940、1.741,P=0.311、0.053、0.083);观察组回声不均,两侧不对称,且连续中断;对照组回声均匀,两侧对称,无中断。结论在女性盆底功能障碍性疾病诊断过程中使用三维超声能够获得良好的临床价值。

Objective To analyze the clinical value of three-dimensional ultrasound in the diagnosis of pelvic floor dysfunction disease.MethodsFrom June 2016 to December 2017,95 cases of female pelvic floor dysfunction disease in the People's Hospital of Dongyang were selected as observation group.And 90 healthy women received physical examination during the same period were selected as control group.Both two groups were subjected to three-dimensional ultrasonography,and the results were analyzed.ResultsIn the observation group,the anteroposterior diameter and area in resting period,anteroposterior diameter and area in tension period,anteroposterior diameter and area in anus period of the anal pelvic diaphragmatic hiatus were(65.58±6.38)cm,(20.01±3.98)cm^2,(68.40±5.54)cm,(22.50±3.12)cm^2,(60.17±5.55)cm and(19.28±2.52)cm^2,respectively,which were significantly higher than those in the control group[(51.84±3.46)cm,(13.93±2.09)cm^2,(53.65±4.23)cm,(14.60±2.95)cm^2,(48.95±3.48)cm,(13.45±1.76)cm^2](t=18.066,12.903,20.272,13.200,16.369,18.150,P=0.000,0.000,0.000,0.000,0.000,and 0.000).But the pubic rectal muscle thickness of resting period,tension period,anal contraction period in the observation group were(10.28±1.96)cm,(10.63±1.57)cm,and(10.01±1.13)cm,respectively,which were lower than those in the control group[(10.28±1.96)cm,(10.63±1.57)cm,(10.35±1.49)cm](t=1.015,1.940,1.741,P=0.311,0.053,0.083).The observation group was asymmetrical,asymmetrical on both sides and interrupted continuously.In the control group,the echo was uniform,bilateral symmetry,without interruption.ConclusionThe use of three-dimensional ultrasound in the diagnosis of female pelvic floor dysfunction disease has good clinical value.