经会阴实时三维超声在探查女性盆底功能障碍性疾病的应用价值

Application value of transperineal real-time three-dimensional ultrasound in detecting the correlation of female pelvic floor dysfunction diseases

目的 探讨经会阴实时三维超声在探查女性盆底功能障碍性疾病(FPFD)中的应用价值。方法 选取2019年1月-2020年12月间本院收治的FPFD患者65例为试验组,选取同期健康女性65例为对照组。两组均行经会阴实时三维超声。比较两组子宫前位发生率、子宫后位发生率、膀胱颈部移动度(BND)、Valsalva动作盆膈裂孔面积。结果 试验组子宫前位发生率显著低于对照组,试验组子宫后位发生率显著高于对照组,差异均具有统计学意义(P <0.05)。试验组BND、Valsalva动作盆膈裂孔面积均显著高于对照组,差异均具有统计学意义(P <0.05)。结论 经会阴实时三维超声可有效提供女性的盆底结构及功能信息,在探查女性FPFD中具有较高应用价值。

Objective To explore the application value of transperineal real-time three-dimensional ultrasound in detecting the female pelvic floor dysfunction disease(FPFD). Methods 65 FPFD patients admitted to our hospital from January 2019 to December2020 were selected as the experimental group, and 65 healthy women during the same period were selected as the control group. Both groups underwent real-time three-dimensional ultrasound through the perineum. The incidence of anterior uterus, incidence of posterior uterus, bladder neck mobility(BND), and the area of Valsalva action pelvic diaphragm hiatus were compared between the two groups.Results The incidence of anterior uterus in the experimental group was significantly lower than that in the control group, and the incidence of posterior uterine in the experimental group was significantly higher than that of the control group. The differences were statistically significant(P < 0.05). The BND and the area of Valsalva action pelvic diaphragm hiatus in the experimental group was significantly higher than that in the control group, and the difference was statistically significant(P < 0.05). Conclusion Transperineal real-time three-dimensional ultrasound can effectively provide female pelvic floor structure and function information, and has high application value in exploring the female FPFD.