超声定量评估腹直肌间距诊断腹直肌分离的价值

Value of Ultrasound Quantitative Evaluation of Inter-recti Distance in the Diagnosis of Diastasis Recti Abdominis

目的 研究超声定量评估腹直肌间距(IRD)对腹直肌分离(DRA)的诊断价值。方法 以2020年1月-2023年1月兴国县妇幼保健院收治的50例DRA女性为研究对象,设为DRA组,另取同期50名健康女性设为非DRA组,两组均开展超声IRD定量检测,比较DRA组与非DRA组的IRD测量结果,统计不同DRA类型(脐上方分离型、脐水平分离型、脐下方分离型、开放式分离型)最宽处IRD值,绘制受试者工作特征(ROC)曲线,分析超声定量评估IRD对DRA的诊断效能。结果 DRA组脐上方、脐水平、脐下方IRD值均大于非DRA组(P<0.05);DRA患者中,最宽处IRD值由大到小依次为开放式分离型>脐上分离型>脐下分离型>脐水平分离型(P<0.05)。ROC曲线显示,超声定量评估IRD对DRA具有确切诊断价值(AUC>0.5,P<0.05),其中,脐上方、脐水平、脐下方IRD值诊断DRA的AUC的分别为0.796、0.783、0.809。结论 超声定量评估IRD对DRA具有确切诊断价值。

Objective To study the diagnostic value of ultrasound quantitative evaluation of inter-recti distance(IRD)indiastasis recti abdominis(DRA).Methods A total of 50 DRA women admitted to Xingguo County Maternal and Child Health Hospital from January 2020 to January 2023 were selected as the DRA group,and 50 healthy women in the same period were selected as the non-DRA group.Ultrasound IRD quantitative detection was carried out in both groups.The IRD measurement results of DRA group and non-DRA group were compared.The IRD values at the widest part of different DRA types(supraumbilical separation type,umbilical horizontal separation type,subumbilical separation type and open separation type)were counted.The receiver operating characteristic(ROC)curve was drawn to analyze the diagnostic efficacy of ultrasound quantitative evaluation of IRD for DRA.Results The IRD values above the umbilicus,at the umbilicus level and below the umbilicus in the DRA group were higher than those in the non-DRA group(P<0.05).In DRA patients,the IRD values at the widest range were in the order of open separation type>umbilical separation type>subumbilical separation type>umbilical horizontal separation type(P<0.05).ROC curve showed that the quantitative evaluation of IRD by ultrasound had a definite diagnostic value for DRA(AUC>0.5,P<0.05),the AUC of IRD values above the umbilicus,at the umbilicus level,and below the umbilicus in the diagnosis of DRA were 0.796,0.783,and 0.809,respectively.Conclusion Ultrasound quantitative evaluation of IRD has a definite diagnostic value for DRA.