|
|
|
| Clinical value of transperineal pelvic floor ultrasound in the diagnosis of outlet obstructive constipation |
| DAI Yujuan |
| Department of Ultrasound Imaging,Zhongshan City People's Hospital,Guangdong Province,Zhongshan 528400,China |
|
|
|
|
Abstract Objective To explore the value of transperineal pelvic floor ultrasound in the diagnosis of outlet obstructive constipation.Methods A total of 80 patients with constipation who visited the Zhongshan City People's Hospital in Guangdong Province from March 2022 to December 2022 were selected as the study subjects,all subjects underwent transperineal pelvic floor ultrasound diagnosis and X-ray defecography examination.The results of X-ray defecography were taken as the gold standard,the accuracy,sensitivity,specificity,positive predictive value and negative predictive value of transperineal pelvic floor ultrasound diagnosis were calculated.The accuracy of diagnosing for different conditions and patient satisfaction using of two diagnostic methods were compared.Results X-ray defecography showed positive results in 69 cases and negative results in 11 cases.Ultrasound diagnosis of the transperineal pelvic floor showed positive results in 71 cases and negative results in 9 cases.The results of X-ray defecography were taken as the gold standard,the consistency of transperineal pelvic floor ultrasound diagnosis was shown to be Kappa=0.951, P ＜0.001,indicated a high degree of consistency.The results of X-ray defecography were taken as the gold standard,the sensitivity of transperineal pelvic floor ultrasound diagnosis was 94.20% (65/69),specificity was 45.45% (5/11),negative predictive value was 55.56% (5/9),positive predictive value was 91.55% (65/71) and accuracy was 87.50% (70/80).There was no statistically significant difference in the diagnostic accuracy of two inspection methods for different conditions (P＞0.05).The satisfaction level of patients with X-ray defecography diagnosis was lower than that with transperineal pelvic floor ultrasound diagnosis,the difference was statistically significant (P ＜0.05).Conclusion In the diagnosis of outlet obstructive constipation,the diagnostic results of X-ray defecography are used as the gold standard.The sensitivity and consistency of the results of transperineal pelvic floor ultrasound diagnosis are high,the pelvic tissue can be clearly observed,patients' satisfaction is high,in clinical diagnosis,appropriate methods or joint diagnosis should be selected based on the patient's condition to improve diagnostic efficiency.
|
|
|
|
|
|
| [1] |
贺秀红，徐霞.经会阴超声对功能性出口梗阻型便秘的诊断[J].中国医学影像学杂志，2017，25（4）：305-306.
|
| [2] |
洪丹丹，张焱，洪伟.盆底超声与动态排粪造影对出口梗阻型便秘的病因诊断价值比较[J].实用医药杂志，2019，36（1）：27-30.
|
| [3] |
叶强.经阴道与经腹部彩色多普勒超声在子宫肌瘤与子宫腺肌病诊断中的应用价值[J].实用妇科内分泌电子杂志，2021，8（26）：77-79.
|
| [4] |
董宁，董鹏，李娜，等.经会阴盆底超声对直肠脱垂性病变的诊断价值研究[J].全科口腔医学电子杂志，2019，6（14）：135，138.
|
| [5] |
路明，杨博，刘扬，等.联合术式治疗盆底肌功能紊乱所致出口梗阻型便秘150 例临床研究[J].新疆医科大学学报，2019，42（7）：891-894.
|
| [6] |
张小培，雷凯荣，黄玲，等.盆底超声与X 线排粪造影在出口梗阻性便秘中诊断价值的比较[C]//.中国超声医学工程学会第十一届全国腹部超声医学学术会议.大连：医药卫生科技，2016：444-445.
|
| [7] |
李梅，郑绥丽，黄淑华，等.经会阴盆底超声对产后女性便秘与盆底功能障碍性疾病相关性研究[J].影像研究与医学应用，2022，6（8）：50-52.
|
| [8] |
李秀明，金佩文，潘洪玲，等.经会阴盆底动态三维超声联合经直肠超声对盆底功能障碍相关性便秘患者盆底结构的评估[J].医学影像学杂志，2018，28（2）：336-339.
|
| [9] |
李一凡，沈慧梅.经会阴盆底动态三维超声联合经直肠超声对盆底功能障碍相关性便秘患者盆底结构的评估[J].影像研究与医学应用，2020，4（1）：189-190.
|
| [10] |
穆靓，刘莉，南淑良，等.经会阴三维超声观察便秘产妇产后盆底结构及功能改变[J].武警医学，2018，29（9）：864-867.
|
| [11] |
林梅清，古艳.经会阴3D 超声探查对便秘的产后妇女盆底变化的探讨[J].中国医学创新，2014，11（14）：32-35.
|
| [12] |
刘菲菲，孙建，高岩冰，等.经会阴实时三维超声在女性后盆腔功能障碍所致便秘中的诊断价值[J].中国超声医学杂志，2017，33（5）：453-455.
|
| [13] |
穆靓，刘莉，南淑良，等.经会阴三维超声对压力性尿失禁初产妇盆底结构的动态观察[J].中国医疗设备，2018，33（9）：83-85，102.
|
| [14] |
刘莉，穆靓，韦爱华，等.妊娠晚期便秘女性盆底解剖结构及功能的三维超声动态观察[J].临床医学研究与实践，2018，2（32）：1-3，6.
|
| [15] |
唐蓉玉，肖宁，赵划晟，等.女性膀胱出口梗阻的超声影像尿动力学检查特点分析[J].中华泌尿外科杂志，2021，42（5）：385-387.
|
| [16] |
胡洋，楼叶琳，吴海啸，等.经会阴盆底超声与尿动力学检查评估女性混合性尿失禁的相关性[J].中国康复理论与实践，2018，24（6）：713-719.
|
| [17] |
张萌，司晓霖，张广英.女性盆底功能障碍性便秘病人耻骨直肠肌功能的盆底超声研究进展[J].国际医学放射学杂志，2022，45（5）：582-587.
|
| [18] |
杨怡雯，金黑鹰，张春霞，等.超声排粪造影的直肠前突分度与出口梗阻型便秘患者临床症状的相关性研究[J].中华结直肠疾病电子杂志，2022，11（2）：158-162.
|
| [19] |
李雪，王学梅，姜镔.经会阴超声与X 线排粪造影对直肠前突与盆底失弛缓综合征诊断价值的比较研究[J].中国临床医学影像杂志，2017，28（11）：817-821.
|
|
|
|
