盆底超声及相关新技术评估盆底肌收缩功能的临床价值

The Clinical Value of Pelvic Floor Ultrasound and Related New Technologies in Evaluating Pelvic Floor Muscle Contraction Function

盆底功能障碍(FPFD)是产后女性一种常见的疾病,对生活质量有负面影响,包括尿失禁、便失禁及性障碍等多种临床表现。由于盆底是人体中最复杂的区域之一,仅通过病史采集和体格检查很难做出有效的评估,为了进行准确的诊断,不同的成像方式一直在使用,包括磁共振成像(MRI)和计算机断层扫描(CT);如今,随着超声技术的不断发展,盆底超声已成为盆底成像的最佳选择之一,特别是在该种成像模式基础上发展而来的一系列新的超声检查方法,对于盆底肌收缩功能的临床分析十分有价值。本文旨在介绍盆底成像中新兴的超声技术,包括容积渲染、融合成像、运动跟踪和彩色矢量映射及超声盆底测压及弹性成像等。

Pelvic floor dysfunction (FPFD) is a common disorder in postpartum women that negatively affects quality of life, including multiple clinical manifestations such as urinary incontinence, fecal inconti-nence, and sexual disturbances. Since the pelvic floor is one of the most complex regions in the hu-man body, it is difficult to make an effective assessment through history taking and physical exam-ination alone. To make an accurate diagnosis, different imaging modalities have been used, includ-ing magnetic resonance imaging (MRI) and computed tomography (CT);nowadays, with the contin-uous development of ultrasound technology, pelvic floor ultrasound has become one of the best choices for pelvic floor imaging, especially a series of new ultrasound developed on the basis of this imaging mode. The examination method is very valuable for the clinical analysis of pelvic floor mus-cle contraction function. This article aims to introduce emerging ultrasound techniques in pelvic floor imaging, including volume rendering, fusion imaging, motion tracking and color vector map-ping, ultrasound pelvic floor manometry and elastography.