摘要
目的:分析盆底超声在产后女性前盆腔功能障碍性疾病的诊断价值。方法:选择2015年1月~2020年10月收治的20例产后女性盆底功能障碍性疾病患者为试验组,同期健康体检者为对照组。两组均给予盆底超声检查。对比两组静息下、缩肛下超声结果、Valsalva下盆膈裂孔大小变化量。结果:试验组静息下肛提肌裂孔横径、肛提肌裂孔后前径、耻骨内脏肌厚度、盆膈裂孔的面积均高于对照组,P<0.05;试验组缩肛下肛提肌裂孔横径(6.14±0.68)cm、肛提肌裂孔后前径(5.91±0.61)cm、耻骨内脏肌厚度(0.99±0.14)cm、盆膈裂孔的面积(23.14±2.72)cm^(2)均高于对照组的(5.05±0.44)cm、(5.17±0.41)cm、(0.79±0.09)cm、(16.01±1.84)cm^(2),P<0.05;Valsalva下试验组前后径变化量(0.76±0.13)、左右径变化量(0.69±0.09)、面积变化量(2.45±0.31)均低于对照组的(1.28±0.22)、(1.21±0.19)、(4.57±0.65),P<0.05。试验组膀胱颈移动度(22.81±3.24)°、膀胱转角度(22.62±2.18)°、静息状态膀胱颈角度(110.58±14.96)°均高于对照组的(18.72±2.66)°、(18.69±2.47)°、(97.79±10.74)°,P<0.05。结论:盆底超声在该疾病中应用效果显著。
Objective:To analyze the diagnostic value of pelvic floor ultrasound in postpartum women with anterior pelvic dysfunction.Methods:From January 2015 to October 2020,20 postpartum women with pelvic floor dysfunction were enrolled as experimental group,and healthy subjects were enrolled as control group.Pelvic floor ultrasonography was performed in both groups.The ultrasound results of the two groups were compared under rest and under contractile anus,and the changes in the size of Valsalva lower basin diaphragmatic hiatus.Results:The transverse diameter of levator ANI hiatus,the posterior and anterior diameter of levator ANI hiatus,the thickness of pectineal muscle and the area of pelvic diaphragmatic hiatus in the experimental group were higher than those in the control group(P<0.05).The transverse diameter(6.14±0.68)cm,posterior and anterior diameter(5.91±0.61)cm,thickness of pectineal muscle(0.99±0.14)cm,and area of pelvic hiatus(23.14±2.72)cm^(2) in experimental group were higher than those in control group(5.05±0.44)cm,(5.17±0.41)cm,(0.79±0.09)cm,(16.01±1.84)cm^(2)(P<0.05);Under Valsalva,the changes in diameter(0.76±0.13),diameter(0.69±0.09)and area(2.45±0.31)of experimental group were lower than those of control group(1.28±0.22),(1.21±0.19),(4.57±0.65)(P<0.05).Bladder neck mobility(22.81±3.24)°,bladder rotation Angle(22.62±2.18)°,and bladder neck Angle at rest(110.58±14.96)°in experimental group were higher than those in control group(18.72±2.66)°,(18.69±2.47)°,(97.79±10.74)°,(P<0.05).Conclusion:The application effect of pelvic floor ultrasound in this disease is significant.
作者
钟绮梅
幸薇
杨钦维
ZHONG Qi-mei;XING Wei;YANG Qin-wei(Yuedong Hospital,the Third Affiliated Hospital of Sun Yat Sen University,Guangdong Meizhou 514000)
出处
《中国医疗器械信息》
2022年第10期14-16,共3页
China Medical Device Information
基金
梅州市科技计划项目(项目名称:盆底超声对女性前腔室康复疗效评估的研究,项目编号:2017B123)。
关键词
盆底超声
耻骨内脏肌厚度
膀胱转角度
pelvic ultrasound
the thickness of pubic visceral muscle
bladder rotation angle
