经会阴二维及三维超声检查在绝经后女性盆底功能障碍性疾病患者肛提肌裂孔形变情况评估中应用.docVIP

经会阴二维及三维超声检查在绝经后女性盆底功能障碍性疾病患者肛提肌裂孔形变情况评估中应用 　　[摘要]目的 探?经会阴二维及三维超声检查在绝经后女性盆底功能障碍性疾病患者肛提肌裂孔形变情况评估中的应用价值。方法 选择2015年8月～2016年10月我院接诊的64例女性盆底功能障碍性疾病患者，均给予经会阴二维及三维超声检查，32例绝经后女性盆底功能障碍性疾病患者为观察组，32例未绝经女性盆底功能障碍性疾病患者为对照组。观察膀胱颈下移距离、尿道旋转角度、前盆腔膨出距离、子宫下移、直肠下移等情况，记录静息时及Valsalva动作时，肛提肌裂孔的左右径、前后径、周长及面积。结果 两组患者膀胱颈下移距离比较差异无统计学意义（P0.05）；观察组尿道旋转角度大于对照组，差异有统计学意义（t=2.0608，P=0.0435）；观察组前盆腔膨出距离长于对照组，差异有统计学意义（t=3.6267，P=0.0006）；观察组子宫下移数量（24例）多于对照组的17例；观察组子宫下移距离长于对照组，差异有统计学意义（t=4.4759，P=0.0000）；观察组直肠下移数量（23例）多于对照组（15例），观察组直肠下移距离长于对照组，差异有统计学意义（t=4.1457、4.7955，P=0.0417、0.0000）。观察组患者无论静息时还是Valsalva动作时，肛提肌裂孔的左右径、前后径、周长及面积均明显大于对照组，差异有统计学意义（P0.05）；the urethral rotation angle of patients in the observation group was larger than that in the control group （t=2.0608，P=0.0435）；the distance of pelvic bulging in the observation group was longer than that in the control group （t=3.6267，P=0.0006）；there were 24 cases of uterine down-moving in the observation group，which was more than that in the control group （17 cases），the uterine down-moving distance in the observation group was longer than that in the control group （t=4.4759，P=0.0000）；for the observation group，there were 23 cases with rectal down-moving，which was larger than the number of cases with rectal down-moving in the control group（15 cases）；the rectal descent distance in the observation was longer than that in the control group （t=4.1457、4.7955，P=0.0417、0.0000）.In the observation group，left-right diameter，anteroposterior，perimeter and area of anal levator hiatal were significantly greater than those of the patients in the control group whether at resting and Valsalva action，the differences between the two groups were statistically significant （P 　　综上所述，经会阴二维及三维超声检查能反映患者肛提肌裂孔形变情况，对绝经后女性FPFD患者肛提肌裂孔形变情况评估提供有效参考依据 [参考文献] [1]刘丽，刘静华，蒋莹.经会阴超声评价女性产后肛提肌损伤的研究进展[J].中华医学超声杂志（电子版），2016，13（2）：101-103. [2]刘菲菲，徐莲，李勤，等.三维超声对不同状态下女性盆膈裂孔及耻骨直肠肌的观察[J].中华医学超声杂志（电子版），2013，10（4）：297-301. [3]Liu E，Smalldridge J，Scott B.Unipedicle TRAM flap procedures are associ