会阴超声在盆底功能障碍性疾病中的诊断

Diagnosis of Pelvic Floor Dysfunction by Perineal Ultrasound

目的分析会阴超声检查对女性盆底功能障碍性疾病的评估价值,为临床诊治提供理论参考。方法选取我院2018年3月—2018年12月收治的100例产妇作为研究对象,顺产52例视为顺产组,剖宫产48例视为剖宫产组,另将同期在我院接受体检的健康未孕女性50例视为对照组。采用会阴超声对各组进行全面检查,分析比较各组检查情况。结果顺产组尿道旋转度、膀胱下降水平高于剖宫产组和对照组,差异有统计学意义(P<0.05);对照组膀胱颈到耻骨联合下缘、宫颈到耻骨联合下缘高于顺产组和剖宫产组,宫颈下降水平低于顺产组和剖宫产组,差异有统计学意义(P<0.05)。顺产组盆膈裂孔面积大于剖宫产组和对照组,差异有统计学意义(P<0.05);对照组肛提肌厚度和耻骨直肠肌厚度大于顺产组和剖宫产组,差异有统计学意义(P<0.05)。结论女性不同盆底障碍性疾病的程度不同,采用会阴超声检查可进行有效诊断检查。

Objective To analyze the value of perineal ultrasonography in the evaluation of female pelvic floor dysfunction and provide the theoretical reference for clinical diagnosis and treatment.Methods One hundred women who were admitted to our hospital from March 2018 to December 2018 were enrolled in the study.52 cases were treated as a delivery group,48 cases were cesarean section.50 healthy non-pregnant women were regarded as the control group.The perineal ultrasound was used to conduct a comprehensive examination of each group,and the analysis of each group was analyzed and compared.Results The urethral rotation and bladder decline in the delivery group were higher than those in the cesarean section and the control group,the difference was statistically significant(P<0.05).The lower edge of the bladder neck to pubic symphysis and the lower edge of the cervix to pubic symphysis were higher in the control group.In the cistern group and the cesarean section,the cervical sag level was lower than that in the cistern and cesarean section,and the difference was statistically significant(P<0.05).The area of pelvic spasm in the cistern group was larger than that in the cesarean section and the control group,the difference was statistically significant(P<0.05).The thickness of the levator ani muscle and the thickness of the puborectalis in the control group were larger than those in the cesarean section and the cesarean section.the difference was statistically significant(P<0.05).Conclusion The degree of pelvic floor disorder is different in women,so perineal ultrasound can be used for effective diagnosis.