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| Application of transperineal two-dimensional and three-dimensional ultrasonography in the evaluation of the levator ani muscle deformation in postmenopausal women with pelvic floor dysfunction |
| LAN Ying |
| Color Ultrasonic Room,Department of Special Clinic,the 171stHospital of PLA in Jiangxi Province,Jiujiang 332000, China |
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Abstract ObjectiveTo investigate the application value of transesophageal two-dimensional and three-dimensional ultrasonography in the evaluation of the levator ani muscle deformation in postmenopausal women with pelvic floor dysfunction.Methods64 cases of women with pelvic floor dysfunction were admitted to our hospital from August 2015 to October 2016.All patients were examined through two-dimensional and three-dimensional ultrasonography.32 cases of postmenopausal women with pelvic floor dysfunction were chosen as the observation group,and 32 cases of nonmenopausal female patients with pelvic floor dysfunction were chosen as the control group.A discussion was carried out on the application of transperineal two-dimensional and three-dimensional ultrasonography in the evaluation of the levator ani muscle deformation in postmenopausal women with pelvic floor dysfunction through assessing the pelvic floor prolapse and the levator ani hiatus deformation of the patients in the two groups.The distance of vesical neck downmoving,urethral rotation angles,the distance of pelvic bulging,uterine down-moving,rectal down-moving was observed; left-right diameter,anteroposterior,perimeter and area of anal levator hiatal at resting and Valsalva gesture was recorded.ResultsThere was no significant difference between the two groups in the distance of vesical neck down-moving(P＞0.05);the urethral rotation angle of patients in the observation group was larger than that in the control group(t=2.0608, P=0.0435);the distance of pelvic bulging in the observation group was longer than that in the control group (t=3.6267,P=0.0006);there were 24 cases of uterinedown-moving in the observation group,which was more than that in the control group(17 cases),the uterine down-moving distance in the observation group was longer than that in the control group (t=4.4759,P=0.0000);for the observation group,there were 23 cases with rectal down-moving,which was larger than the number of cases with rectal down-moving in the control group(15 cases);the rectal descent distance in the observation was longer than that in the control group (t=4.1457、4.7955,P=0.0417、0.0000).In the observation group,left-right diameter,anteroposterior,perimeter and area of anal levator hiatal were significantly greater than those of the patients in the control group whether at resting and Valsalva action,the differences between the two groups were statistically significant(P＜0.01).ConclusionTransperineal twodimensional and three-dimensional ultrasonography can reflect the degree of levator ani hiatus deformation of patients, provides effective reference for the evaluation of the levator ani muscle deformation in postmenopausal women with pelvic floor dysfunction.
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