三维超声相关参数评价女性盆底功能障碍的效能研究

doi:10.7517/issn.1674-0475.201109

影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (3): 464-467.DOI: 10.7517/issn.1674-0475.201109

三维超声相关参数评价女性盆底功能障碍的效能研究

徐闪闪¹, 解浩然², 张超学¹, 刘颂玉¹, 邱文倩¹

1. 安徽医科大学第一附属医院, 安徽合肥 230011;
2. 合肥市第二人民医院, 安徽合肥 230011

收稿日期:2020-11-09 出版日期:2021-05-15 发布日期:2021-05-17
通讯作者: 张超学

Research on the Evaluation Efficacy of Three-dimensional Ultrasound Parameters for Pelvic Floor Dysfunction

XU Shanshan¹, XIE Haoran², ZHANG Chaoxue¹, LIU Songyu¹, QIU Wenqian¹

1. The First Affiliated Hospital of Anhui Medical University, Hefei 230011, Anhui, P. R. China;
2. The Second People's Hospital of Hefei, Hefei 230011, Anhui, P. R. China

Received:2020-11-09 Online:2021-05-15 Published:2021-05-17

摘要/Abstract

摘要： 本研究的目的是探讨三维超声评价女性盆底功能障碍的价值。选取盆底功能障碍女性患者78例设为观察组，同时选取无盆底功能障碍女性患者80例作为对照组，采用三维超声观察肛提肌裂孔面积、肛提肌厚度等，并检测肛提肌肌力。实验结果显示：观察组静息状态和Valsalva状态下肛提肌裂孔面积和尿道膀胱后角明显大于对照组（P<0.05），而肛提肌厚度明显小于对照组（P<0.05）；观察组膀胱颈移动度明显高于对照组（P<0.05）；观察组肛提肌肌力弱于对照组（P<0.05）。静息状态和Valsalva状态下肛提肌裂孔面积与肛提肌肌力分级呈负相关（r=-0.544和-0.560，P<0.05）；膀胱颈移动度与肛提肌肌力分级呈负相关（r=-0.511，P<0.05）。本研究证实，女性盆底功能障碍患者肛提肌裂孔面积、膀胱颈移动度与肛提肌肌力存在相关性。

关键词: 三维超声, 肛提肌裂孔面积, 肛提肌肌力, 膀胱颈移动度

Abstract: The purpose of this study is to explore the value of three-dimensional ultrasound in the evaluation of pelvic floor dysfunction. There were 78 patients with pelvic floor dysfunction who were selected as observation group, and 80 patients without pelvic floor dysfunction who were selected as control group. The levator hiatus area and levator ani thickness were observed by three-dimensional ultrasound, and the muscle strength of levator ani was also detected. The experimental results show that, the area of hiatus of levator in resting state and Valsalva state in observation group were significantly higher than those of the control group, as well as the posterior angle of urinary bladder in resting state and Valsalva state (P<0.05), while the thickness of levator ani muscle was significantly less than that of the control group (P<0.05). The mobility of bladder neck was significantly higher than that of the control group (P<0.05). The muscle strength of levator ani muscle in the observation group was weaker than that in the control group (P<0.05). In resting state and Valsalva state, the area of hiatus of levator was negatively correlated with the grading of levator ani muscle strength (r=-0.544 and -0.560, P<0.05). The mobility of bladder neck was negatively correlated with the grading of levator ani muscle strength (r=-0.511, P<0.05). This study confirmed that there is a correlation between the area of levator hiatus, the mobility of bladder neck and the muscle strength of levator ani in patients with pelvic floor dysfunction.

Key words: three-dimensional ultrasound, levator ani muscle area, levator ani muscle strength, bladder neck mobility

徐闪闪, 解浩然, 张超学, 刘颂玉, 邱文倩. 三维超声相关参数评价女性盆底功能障碍的效能研究[J]. 影像科学与光化学, 2021, 39(3): 464-467.

XU Shanshan, XIE Haoran, ZHANG Chaoxue, LIU Songyu, QIU Wenqian. Research on the Evaluation Efficacy of Three-dimensional Ultrasound Parameters for Pelvic Floor Dysfunction[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(3): 464-467.

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三维超声相关参数评价女性盆底功能障碍的效能研究

Research on the Evaluation Efficacy of Three-dimensional Ultrasound Parameters for Pelvic Floor Dysfunction

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