三维超声在女性盆底功能障碍性疾病诊断中的价值

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (33 KB)
Export: BibTeX | EndNote (RIS)

Abstract [Abstract]Objective To explore the value of three-dimensional ultrasound in the diagnosis of female pelvic floor dysfunction disease (PFD).Methods A total of 76 patients with pelvic floor dysfunction admitted to our hospital from December 2016 to December 2017 were selected as the study group,and 60 normal women who underwent physical examination in the same period were selected as the reference group,two-dimensional and three-dimensional perineal ultrasound were used to detect and diagnose PFD,the diagnostic efficacy of two-dimensional and three-dimensional perineal ultrasound was compared.Three-dimensional ultrasonography was used to compare the changes of anteroposterior diameter,area and levator ani muscle thickness of the pelvic and phrenic hiatus in the two groups at different stages.Results The sensitivity,specificity and diagnostic coincidence rate of three-dimensional ultrasound for PFD were 89.47%,95.00%and 91.91%respectively,which were higher than those of two-dimensional ultrasound for PFD(69.74%,80.00%,74.26%),the differences were significant(P<0.05).The anteroposterior diameter and area of pelvic and phrenic hiatus before and after treatment in the study group were significantly larger than those in the control group (P<0.05).There was no significant difference in Puborectalis muscle thickness between the study groups before treatment and reference group(P>0.05).After treatment,the anteroposterior diameter and area of the pelvic and phrenic hiatus in the study group were smaller than those before treatment in different periods,the differences were statistically significant(P<0.05).After treatment,there was no significant difference in Puborectalis muscle thickness between before and after treatment(P>0.05).Conclusion Transperineal three-dimensional ultrasound can clearly show the changes of pelvic floor anatomy and pelvic floor function,improve the accuracy of PFD diagnosis,and provide information about the diameter and area of pelvic diaphragm fissure.It has important application value in clinical diagnosis,treatment and rehabilitation evaluation.

Key words： Transperineal Three-dimensional ultrasound Pelvic floor dysfunction Diagnosis Pelvic and phrenic hiatus

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LUO Ying-de

Cite this article:

LUO Ying-de. Value of three-dimensional ultrasound in diagnosis of female pelvic floor dysfunction[J]. 中国当代医药, 2019, 26(7): 32-34转38.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I7/32

[9]	李晗姝，刘艳君，王学梅.经会阴三维超声观察肛提肌裂孔评估盆底功能障碍疾病患者的手术效果[J].中国超声医学杂志，2016，32（11）：1025-1028.
[10]	王杏.经会阴三维超声对盆底功能障碍性疾病的诊断价值[J].医疗装备，2017，30（8）：63-64.
[11]	江宁珠，姜伟，敖贵文，等.经会阴超声对女性盆底功能障碍性疾病的临床应用观察[J].中国计划生育和妇产科，2017，9（6）：69-72.
[12]	褚莉莉，王敏芳，孙晶晶.经会阴超声在女性盆底功能障碍性疾病诊断中临床价值[J].医学影像学杂志，2017，27（2）：374-376.
[7]	贾群玲.经阴道超声在女性盆腔疾病筛查中的应用[J].中国超声医学杂志，2016，32（12）：1129-1132.
[8]	王玥，傅朝，佘颖，等.三维超声断层成像技术定量分析盆底功能障碍肛提肌损伤的可能性研究[J].中国现代医学杂志，2013，23（6）：97-101.
[13]	陈静，黄晴，韦玮，等.经会阴三维超声评价女性盆底功能障碍疾病的诊断价值[J].临床超声医学杂志，2014，16（6）：373-375.
[14]	王艳，金丽.经会阴实时三维超声在探查子宫位置形态与女性盆底功能障碍性疾病相关性中的应用价值[J].中国妇幼保健，2017，32（13）：3067-3068.
[15]	范成姣，王义，王珍荣.三维超声在女性盆底功能障碍性疾病诊断中的应用分析[J].中国妇幼保健，2015，30（30）：5270-5271.
[1]	刘昕.三维超声在女性盆底功能障碍性疾病诊断中的应用[J].吉林医学，2015，36（15）：3267-3268.
[2]	雷凯荣，李艳平，张小培，等.盆底超声在女性盆底功能障碍性疾病诊断中的应用[J].中国实用妇科与产科杂志，2017，33（10）：1008-1014.
[3]	唐连，刘萍，陈春林.动态MRI检查在盆底功能障碍性疾病诊断和治疗后随访中的应用进展[J].中华妇产科杂志，2016，51（9）：714-717.
[4]	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.
[5]	黄帅，李灵，练莉，等.基于超声弹性成像的女性盆底肌肉定量评估方法[J].中国生物医学工程学报，2017，36（4）：401-409.
[6]	朱冬梅，刘学彬，杨姣，等.盆底三维超声观察不同分娩方式对初产女性盆膈裂孔影响的对比研究[J].重庆医学，2017，46（A2）：150-151.