经会阴盆底三维超声评估针灸治疗盆底功能障碍价值分析

Value Analysis of Transperineal Pelvic Floor Three-Dimensional Ultrasound in Evaluating Acupuncture and Moxibustion for Pelvic Floor Dysfunction

目的:观察经会阴盆底三维超声对评估针灸治疗女性盆底功能障碍疗效的价值。方法:选择32例接受针灸治疗的女性盆底功能障碍患者为观察组,另选择32例同期接受健康体检的健康女性作为参照组,2组均接受经会阴盆底三维超声,对比2组各项超声指标水平变化情况及观察组行针灸治疗前后的盆底功能障碍程度。结果:与参照组比较,观察组治疗前的尿道倾斜角、宫颈与耻骨联合下缘间距离、肛提肌尿道间隙明显更小,尿道旋转角、静息状态下膀胱尿道后角、Valsalva动作下膀胱尿道后角、膀胱颈下降距离、宫颈下降距离及盆膈裂孔面积明显更大,差异均有统计学意义(P<0.05)。观察组治疗前后超声检查各指标及盆底器官脱垂轻度、中度、重度发生率比较,差异有统计学意义(P<0.05)。结论:经针灸治疗女性盆底功能障碍后,采用经会阴盆底三维超声检查可直观反映患者治疗前后盆底器官脱垂程度,清晰描述盆底功能变化情况。

Objective : To observe the value of transperineal pelvic floor three-dimensional ultrasound in evaluating acupuncture and moxibustion for female with pelvic floor dysfunction. Methods:32 cases of female patients with pelvic floor dysfunction who received acupuncture and moxibustion were selected as the observation group,and another 32 cases who received health examination at the same period were selected as the control group. Both groups received transperineal pelvic floor three-dimensional ultrasound. Compared the changes in levels of each ultrasound index in both groups and the degree of pelvic floor dysfunction in the observation group before and after conducting acupuncture and moxibustion. Results:Compared with the control group, urethral tilt angle, the distance from cervix to lower margin of pubic symphysis and levator-urethra gap in the observation group before treatment were obviously smaller,and urethral rotation angle,posterior urethrovesical angle at resting state,and posterior urethrovesical angle,descending distance of bladder neck,descending distance of cervix and levator hiatus size during Valsalva maneuver were significantly larger,differences being significant(P<0.05). There was significant difference being found when comparing Indexes of ultrasonic examination and the incidence of mild, moderate, and severe pelvic floor organ prolapse in the observation group before and after treatment, difference being significant(P < 0.05). Conclusion : Transperineal pelvic floor three-dimensional ultrasonography has good value in evaluating acupuncture and moxibustion for female with pelvic floor dysfunction, which can directly reflect the degree of prolapse in pelvic floor organ before and after treatment,and clearly describe the change of pelvic floor function.