三维超声在诊断女性盆底功能障碍中的应用

Application of Three-dimensional Ultrasound in Diagnosis of Female Pelvic Floor Dysfunction

目的探讨三维超声在诊断女性盆底功能障碍中的应用情况方法以2017年4月至2019年4月于本院进行三维超声检查的盆底功能障碍患者55例为观察组,按照配比同期选择55例经体检显示正常的健康者为对照组。分析盆底功能障碍患者的三维成像特点,比较其检出率。结果(1)静息状态下两组LHAP比较差异无统计学意义(P>0.05),但观察组LA(16.83±3.37)cm^2、LHIP(3.84±0.77)cm均显著高于对照组(13.64±2.73)cm2、(3.38±0.62)cm(P<0.05);最大Va1sa1va动作下,观察组各指标均显著高于对照组(P<0.05)。(2)静息状态下,观察组中阴道分娩患者于剖宫产分娩患者的LHAP、LA、LHIP比较差异均无统计学意义(P>0.05),但最大Va1sa1va状态下,阴道分娩患者的各指标依次为(7.53±1.69)cm、(19.45±3.31)cm^2、(4.22±0.47)cm,均显著高于剖宫产组(6.02±1.14)cm、(18.23±2.67)cm^2、(4.02±0.36)cm(P<0.05)。结论经会阴三维超声检查能够为女性盆底功能障碍性疾病提供有效信息,具有较高的临床应用价值。

Objective To investigate the application of three-dimensional ultrasound in the diagnosis of female pelvic floor dysfunction.Methods 55 patients with pelvic floor dysfunction who underwent three-dimensional ultrasonography in the hospital from April 2017 to April 2019 were included in the observation group.55 healthy subjects who underwent physical examination during the same period were selected as the control group.The three-dimensional imaging characteristics of patients with pelvic floor dysfunction were analyzed and detection rates were compared.Results(1)There was no significant difference in resting-state LHAP between the two groups(P>0.05).However,LA(16.83±3.37)cm^2 and LHIP(3.84±0.77)cm were significantly higher than those of the control group[(13.64±2.73)cm^2,(3.38±0.62)cm](P<0.05).Under the maximum Valsalva action,the indexes of the observation group were significantly higher than those of the control group(P<0.05).(2)There was no significant difference in resting-state LHAP,LA or LHIP between patients undergoing vaginal delivery and those undergoing cesarean section in the observation group(P>0.05).However,under the maximum Valsalva state,indexes of patients undergoing vaginal delivery[(7.53±1.69)cm,(19.45±3.31)cm^2,(4.22±0.47)cm]were significantly higher than those of patients undergoing cesarean section[(6.02±1.14)cm,(18.23±2.67)cm^2,(4.02±0.36)cm](P<0.05).Conclusion Perineal three-dimensional ultrasonography can provide effective information for female pelvic floor dysfunction and it is of great clinical value.