肛提肌裂孔面积与POP-Q分度用于评估女性盆腔器官脱垂的相关性研究

目的研究患者盆腔器官脱垂(POP)-Q评分评估的POP分度与肛提肌裂孔面积的相关性。方法选取2018年4月-2019年11月在长春市妇产医院就诊的女性患者999名为研究对象。收集患者POP-Q评分相关数据并进行分度评估,并行经会阴实时三维超声检查,对肛提肌裂孔面积进行测量。分析POP患者肛提肌裂孔面积与POP-Q分度的相关性。结果 POP分度与肛提肌裂孔的面积具有显著相关性(P<0.001),且随着分度的增高,裂孔面积不断增大。Ⅰ度的最佳截断值为25.05,Ⅱ度的最佳截断值为30.65,Ⅲ度的最佳截断值为34.05。POP-Q分度与肛提肌裂孔面积的相应关系为:0度<25.05 cm,共194例患者;Ⅰ度≥25.05 cm,共324例患者;Ⅱ度≥30.65,共278例患者;Ⅲ度≥34.05 cm,共203例患者。结论肛提肌裂孔面积用于评估POP分度具有良好的预测能力,可辅助临床医师诊断及后续治疗方案的选择。

Correlation between levator hiatus area and POP-Q score for evaluating female pelvic organ prolapse

Objective To investigate the correlation between the degree of pelvic floor organ prolapse assessed by the POP-Q score and the area of the levator hiatus by ultrasound.Methods A total number of 999 female patients diagnosed in Changchun Obstetrics-Gynecology Hospital from April 2018 to November 2019 were involved in this study.The data of POP-Q score in patients were collected and graded,and perineal real-time three-dimensional ultrasonography was performed to measure the area of levator hiatus.Analyzing the correlation between the area of levator hiatus and POP-Q score in patients with pelvic organ prolapse.Results The degree of pelvic organ prolapse was significantly correlated with the area of the levator hiatus(P<0.001),and the area of the hiatus increased along with the degree.The best cut-off value of degreeⅠis 25.05,that of degreeⅡis 30.65,and that of degreeⅢis 34.05.According to this index,the corresponding relationship between POP-Q index and the hole area of levator was as follows:degree 0<25.05 cm,194 patients in total;degreeⅠ≥25.05 cm,a total number of 324 patients;degreeⅡ≥30.65,a total number of 278 patients;there were 203 patients with degreeⅢ≥34.05 cm.Conclusion The area of levator hiatus used to evaluate the degree of POP-Q pelvic organ prolapse has good predictive ability,which can assist doctors in the diagnosis process and the selection of follow-up treatment.