会阴超声诊断女性盆底功能障碍性疾病的价值

Analysis of the value of perineal ultrasound in diagnosis of female pelvic floor dysfunction

目的:探讨会阴超声诊断女性盆底功能障碍性疾病的价值。方法:回顾性分析2017年7月—2019年7月收治的女性盆底功能障碍性疾病60例患者的临床资料,按病情程度分为轻度组和重度组,每组30例。两组患者均给予会阴超声诊断,观察并比较两组盆底功能相关指标的变化情况。结果:重度组宫颈到耻骨联合下缘、膀胱颈至耻骨联合下缘的距离均低于轻度组,尿道旋转度高于轻度组,差异有统计学意义(P<0.05);静息、张力、缩肛状态时,重度组盆隔裂孔的面积均高于轻度组,肛提肌厚度均小于轻度组,差异有统计学意义(P<0.05)。结论:应用会阴超声诊断女性盆底功能障碍性疾病效果较好,可以客观反映患者疾病程度,为临床判断及后续治疗方案的制订提供了参考依据。

Objective:To investigate the value of perineal ultrasound in diagnosis of female pelvic floor dysfunction.Methods:The clinical data of 60 cases of female pelvic floor dysfunction who admitted in the hospital from July 2017 to July 2019 were retrospectively analyzed.According to the severity of the disease,the clinical data of 30 patients with mild pelvic floor dysfunction were included in mild group,and the clinical data of 30 patients with severe pelvic floor dysfunction were included in severe group.Two groups were diagnosed by perineal ultrasound,and the changes of pelvic floor function indexes were compared between two groups.Results:The cervix to the inferior margin of pubic symphysis and neck of bladder to the inferior margin of pubic symphysis in severe group were lower than those in mild group,and the urethral rotation in severe group was higher than that in mild group(P<0.05).The areas of hiatus of pelvic diaphragm under rest,tension and anal shrinkage state in severe group were higher than those in mild group,and the thickness of levator ani muscle in severe group was lower than that in mild group(P<0.05).Conclusion:Perineal ultrasound in diagnosis of female pelvic floor dysfunction has better effects,it can objectively reflect the severity of the disease,which provides a good basis for clinical judgment and the formulation of subsequent treatment plans.