TPUS检查对子宫全切术后患者PFD发生情况的评估价值

doi:10.7517/issn.1674-0475.201218

影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (4): 601-605.DOI: 10.7517/issn.1674-0475.201218

TPUS检查对子宫全切术后患者PFD发生情况的评估价值

季润琰¹, 何伯圣², 吴静¹

1. 南通大学附属南通第三医院超声科, 江苏南通 226001;
2. 南通大学第二附属医院影像科, 江苏南通 226001

收稿日期:2020-12-15 出版日期:2021-07-15 发布日期:2021-07-20
通讯作者: 何伯圣
基金资助:
南通市医学科技发展项目（JQX19003）

Evaluation Value of TPUS Examination on PFD Occurrence in Patients after Hysterectomy

JI Runyan¹, HE Bosheng², WU Jing¹

1. Ultrasonography Department, Affiliated Nantong Hospital 3 of Nantong University, Nantong 226001, Jiangsu, P. R. China;
2. Department of Imaging, Second Affiliated Hospital Of Nantong University, Nantong 226001, Jiangsu, P. R. China

Received:2020-12-15 Online:2021-07-15 Published:2021-07-20

摘要/Abstract

摘要： 本文旨在分析经会阴超声（TPUS）检查对子宫全切术后患者盆底功能障碍（PFD）发生情况的评估价值。选取行子宫全切术的患者157例，根据术后是否出现PFD，分为未发生PFD组103例和发生PFD组54例，均行TPUS检查。结果显示，与未发生PFD组相比，发生PFD组膀胱下移距离、直肠下移距离、阴道穹窿下移距离、膀胱尿道后角、肛提肌裂孔左右径、前后径、面积、周长升高，尿道倾斜角降低（P<0.05）两组肛提肌厚度比较，差异无统计学意义（P>0.05）。与经会阴二维、三维、四维超声检查单独检查相比，三项联合诊断价值较高（P<0.05）。研究结果表明，子宫全切术患者术后存在PFD，TPUS检查对PFD的诊断价值较为理想，可用于子宫全切术后患者PFD发生的临床诊断评估。

关键词: 经会阴二维超声, 经会阴三维超声, 经会阴四维超声, 子宫全切术, 盆底功能障碍

Abstract: This paper aims to analyze the value of transperineal ultrasound (TPUs) in the assessment of pelvic floor dysfunction (PFD) after hysterectomy. One hundred and fifty-seven patients who underwent total hysterectomy were selected. According to whether PFD occurred after operation, they were divided into two groups: 103 patients without PFD and 54 patients with PFD. All patients underwent TPUs examination. The results showed that compared with the non PFD group, the bladder downward distance, rectum downward distance, vaginal fornix downward distance, posterior angle of urethra, left and right diameter, anteroposterior diameter, area and perimeter of levator ani hiatus in PFD group increased, and the urethral inclination angle decreased (P<0.05). There was no significant difference in levator ani thickness between the two groups (P>0.05). Compared with transperineal two-dimensional, three-dimensional and four-dimensional ultrasound examination alone, the diagnostic value of three combined examinations was higher (P<0.05). In conclusion, it is found that patients with PFD after hysterectomy, TPUs examination has ideal diagnostic value for PFD, which can be used for clinical diagnosis and evaluation of PFD after hysterectomy.

Key words: transvaginal 2-D ultrasound, transvaginal 3-D ultrasound, transvaginal 4-D ultrasound, total hysterectomy, pelvic floor dysfunction

季润琰, 何伯圣, 吴静. TPUS检查对子宫全切术后患者PFD发生情况的评估价值[J]. 影像科学与光化学, 2021, 39(4): 601-605.

JI Runyan, HE Bosheng, WU Jing. Evaluation Value of TPUS Examination on PFD Occurrence in Patients after Hysterectomy[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(4): 601-605.

参考文献

[1] 刘艳.子宫全切与次全切对女性性生活质量及盆底功能的影响[J].实用妇科内分泌杂志(电子版), 2016,3(15):108,110.
[2] 金世华, 金万里. 腹腔镜下全子宫及次全子宫切除术后患者盆底功能改变及性生活满意度比较[J]. 安徽医学, 2018,39(6):736-738.
[3] Haylen B T, de Ridder D, Freeman R M, et al. An international urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction[J]. International Urogynecology Journal, 2010,21(1):5-26.
[4] Johnston S L. Pelvic floor dysfunction in midlife women[J]. Climacteric, 2019,22(3):270-276.
[5] Kam H A, Yagel S, Eisenberg V H. Ultrasonography in pelvic floor dysfunction[J]. Obstetrics and Gynecology Clinics of North America, 2019,46(4):715-732.
[6] 史畅, 夏志军. 超声在女性盆底功能障碍性疾病中的应用进展[J]. 现代妇产科进展, 2020,29(9):716-718.
[7] 卫汨, 吴莉. 女性盆底功能障碍的超声诊断及危险因素的回顾性分析[J]. 中国性科学, 2020,29(9):126-129.
[8] 朱玲斐, 马苏亚, 陆丹尔, 等. 经会阴二维超声动态观察和评估产后女性盆底功能的改变[J]. 中国妇幼健康研究, 2018,29(11):1431-1436.
[9] Ouchi M, Kitta T, Suzuki S, et al. Evaluating pelvic floor muscle contractility using two-dimensional transperineal ultrasonography in patients with pelvic organ prolapse[J]. Neurourology and Urodynamics, 2019,38(5):1363-1369.
[10] Vellucci F, Regini C, Barbanti C, et al. Pelvic floor evaluation with transperineal ultrasound:a new approach[J]. Minerva Ginecol, 2018,70(1):58-68.
[11] 贾唯娜, 罗娇娇, 李锋之. 经会阴盆底三维超声评估针灸治疗盆底功能障碍价值分析[J]. 新中医, 2020,52(11):66-68.
[12] 朱静, 甘会书, 黄立. 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]. 临床和实验医学杂志, 2019,18(10):1104-1106.
[13] 林芸, 钟春燕, 魏俊, 等. 经会阴实时三维超声评价产后盆底功能障碍康复疗效的应用价值[J]. 临床超声医学杂志, 2018,20(11):748-750.
[14] 张茂春, 王琦, 张红薇, 等. 经会阴三维超声在评估不同术式治疗盆底功能障碍患者疗效中应用价值[J]. 临床军医杂志, 2018,46(6):667-669.
[15] 张芳, 张周龙. 经会阴盆底三维超声联合直肠超声在盆底功能障碍性疾病诊断中的应用[J]. 中国超声医学杂志, 2019,35(12):1115-1119.
[16] 黄弋庭, 周莹, 尤沛, 等. 经会阴四维超声成像结合图像降噪技术评估产后盆底功能障碍的价值探讨[J]. 临床超声医学杂志, 2019,21(9):664-667.
[17] 孙佳丽. 经会阴四维超声成像检测对诊断自然分娩后产妇盆底功能异常的临床意义[J]. 中国药物与临床, 2020,20(8):1278-1279.
[18] 曹晓燕, 齐艳, 赵华云. 经会阴四维超声成像检测产后盆底功能障碍性疾病的应用价值[J]. 临床超声医学杂志, 2018,20(7):468-471.
[19] Mabrouk M, Raimondo D, Del F S, et al. Pelvic floor muscle assessment on three- and four-dimensional transperineal ultrasound in women with ovarian endometriosis with or without retroperitoneal infiltration:a step towards complete functional assessment[J]. Ultrasound in Obstetrics & Gynecology, 2018,52(2):265-268.
[20] Raimondo D, Youssef A, Mabrouk M, et al. Pelvic floor muscle dysfunction on 3D/4D transperineal ultrasound in patients with deep infiltrating endometriosis:a pilot study[J]. Ultrasound in Obstetrics & Gynecology, 2017,50(4):527-532.
[21] Youssef A, Montaguti E, Sanlorenzo O, et al. Reliability of new three-dimensional ultrasound technique for pelvic hiatal area measurement[J]. Ultrasound in Obstetrics & Gynecology, 2016,47(5):629-35.

TPUS检查对子宫全切术后患者PFD发生情况的评估价值

Evaluation Value of TPUS Examination on PFD Occurrence in Patients after Hysterectomy

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