经会阴二维、动态三维盆底超声在女性盆腔脏器脱垂中的诊断研究分析

Diagnostic study of two-dimensional and dynamic three-dimensional pelvic floor ultrasound in perineal pelvic organ prolapse

目的:探究经会阴二维、动态三维盆底超声在女性盆腔脏器脱垂中的诊断效果。方法:将我院2016年2月—2018年4月来我科进行盆底超声检查的83例疑似盆腔脏器脱垂患者分成二维联合三维超声组与二维超声组,二维联合三维超声组采用经会阴二维、动态三维盆底超声检查,二维超声组采用经会阴二维盆底超声检查。探讨实施不同超声诊断对灵敏度、准确度及特异度的影响。结果:经会阴二维联合动态三维盆底超声在灵敏度(100.00%)、准确度(98.80%)、特异度(87.50%)上显著比二维盆底超声检查(90.67%、85.54%、37.50%)高(P <0.05)。结论:将经会阴二维联合动态三维盆底超声应用于女性盆腔脏器脱垂诊断中时,能准确对疾病进行诊断,判断患者盆底功能,为疾病的诊断与治疗提供有力保障,此方法值得应用与推广。

Objective To investigate the diagnostic effect of two-dimensional and dynamic three-dimensional pelvic floor ultrasound in perineal pelvic organ prolapse. Methods 83 patients with suspected pelvic organ prolapse in our department from February 2016 to April 2018 were divided into two-dimensional combined with three-dimensional ultrasound group and two-dimensional ultrasound group. The two-dimensional combined with three-dimensional ultrasound group used the perineal dynamic two-dimensional、three-dimensional basin. Bottom ultrasound examination, two-dimensional ultrasound group using perineal two-dimensional pelvic floor ultrasound examination. Explore the effects of different ultrasound diagnostics on sensitivity, accuracy and specificity. Results The dynamic two-dimensional combined with three-dimensional pelvic floor ultrasound was significantly higher than the two-dimensional pelvic floor ultrasound(90.67%, 85.54%, 37.50%)in sensitivity(100.00%), accuracy(98.80%), and specificity(87.50% P<0.05). Conclusion When the perineal dynamical two-dimension combined with three-dimensional pelvic floor ultrasound is applied to the diagnosis of female pelvic organ prolapse, it can accurately diagnose the disease and judge the pelvic floor function, which provides a powerful guarantee for the diagnosis and treatment of the disease. This method is worthy of application and promotion.