盆底超声在女性盆底功能障碍性疾病中的应用探讨

目的 探讨盆底超声对女性盆底障碍性疾病的诊断价值.方法 从2014年2月至2016年7月本院收治的盆底功能障碍性疾病患者中选取72例,包括40例尿失禁和32例器宫脱垂,另选取同期本院体检健康女性40例作为对照组,对三组进行盆底超声检测,并分析对比其盆底形态学观察指标.结果 在静息、缩肛及Valsalva状态下,尿失禁组[(16.15±5.71) cm2、(16.48±3.71)cm2、(18.40±6.12)cm]和器宫脱垂组[(16.42±3.75) cm2、(18.16±2.97) cm2、(24.15±4.31) cm2]A值均显著高于对照组[(13.90±2.10)cm2、(14.67±2.53) cm2、(17.58±3.41)cm2)];其中Valsalva状态下前者M值[(6.15±0.71)cm、(6.04±0.67) cm]均显著高于对照组[(5.59±0.70) cm2],差异具有统计学意义(均P＜0.05).结论 盆底超声可有效反映盆底功能障碍性疾病患者盆底结构,通过在不同状态下对盆底结构形态参数变化进行分析,有助于提高此类患者的诊断准确率,同时可为临床治疗方案的制定提供可靠依据.

Value of pelvic floor ultrasonography in diagnosis of female pelvic floor dysfunction

Objective To evaluate the value of ultrasonography in the diagnosis of pelvic floor disorders.Methods 72 patients with pelvic floor dysfunction,40 cases of urinary incontinence and 32 cases of organ prolapse,treated at our hospital from February,2014 to July,2016 were selected.And 40 healthy women undertaking physical examination at our hospital during the same period were selected as a control group.All the objects' pelvic floors were examined by ultrasonography and the pelvic floor morphological indicators were analyzed and compared.Results During rest,anal contraction,and Valsalva states,the A values were significantly higher in the urinary incontinence group [(16.15±5.71) cm2,(16.48±3.71) cm2,and (18.40±6.12) cm2]and the organ prolapse group [(16.42±3.75) cm2,(18.16±2.97) cm2,and (24.15±4.31) cm2] than in the control group [(13.90±2.10) cm2,(14.67±2.53) cm2,and (17.58±3.41) cm2)].During Valsalva state,the M value was significantly higher in the urinary incontinence group[(6.15±0.71) cm] and the organ prolapse group [(6.04±0.67) cm] than in the control group [(5.59 ± 0.70) cm],with statistical differences (all P ＜ 0.05).Conclusions Pelvic floor ultrasound can effectively reflect the pelvic floor structure in patients with pelvic floor dysfunction;the analysis of the changes of pelvic floor structure parameters in different states helps improve the diagnostic accuracy of such patients and provide reliable references for the clinical treatment.