三维超声评估未育女性盆膈裂孔的研究

发布时间：2018-02-02 16:46

本文关键词： 生殖器疾病女(雌)性超声检查　出处：《中国临床医学影像杂志》2015年09期 　论文类型：期刊论文

【摘要】：目的:应用三维超声观察未育女性盆膈裂孔,探讨三维超声在观察女性盆底结构中的应用价值。方法 :选择45例未育女性,经会阴三维超声检查获得盆膈裂孔声像图,观察其形态及内部结构,分别在静息期和张力期测量其前后径、左右径、面积、周长及双侧耻骨直肠肌厚度。结果:正常未育女性盆膈裂孔形态呈菱形,内部结构清晰,从前到后依次显示尿道、阴道和直肠,两侧耻骨直肠肌对称,连续性好。静息期和张力期比较,形态及内部结构无明显变化,盆膈裂孔大小及两侧耻骨直肠肌厚度有明显改变。静息期盆膈裂孔左右径、前后径、面积和周长分别是(3.53±0.42)cm、(4.62±0.46)cm、(12.08±1.43)cm2和(13.39±1.62)cm,在张力期分别是(4.03±0.39)cm、(5.08±0.62)cm、(14.29±1.92)cm2和(14.54±1.68)cm。静息期和张力期左侧耻骨直肠肌厚度分别是(0.71±0.10)cm和(0.60±0.08)cm,右侧耻骨直肠肌厚度分别是(0.68±0.08)cm和(0.58±0.07)cm。与静息期相比,张力期盆膈裂孔各径线变大,而耻骨直肠肌变薄,差异有统计学意义(P0.05)。结论:三维超声技术是评估女性盆底结构有效的影像学方法。
[Abstract]:Objective: to investigate the value of three-dimensional ultrasound in observing the pelvic floor structure of unbred women. Methods: 45 unbred women were selected. The shape and internal structure of the pelvic diaphragm hole were observed and the anteroposterior diameter, left and right diameter and area were measured during the resting period and tension period respectively. Results: the shape of pelvic diaphragm fissure was rhomboid and the internal structure was clear. The urethra, vagina and rectum were displayed from front to back, and both sides of pubic rectum were symmetrical. The shape and internal structure of the pelvic diaphragm hiatus and the thickness of the pubic rectum muscle of both sides changed obviously in the resting period and the tension period. The left and right diameter of the pelvic phrenic fissure and the anterior and posterior diameter of the pelvic diaphragm hiatus in the resting period were obviously changed. The area and circumference were 3.53 卤0.42cm ~ (-1) and 13.39 卤1.62cm ~ (-1), respectively. During the tension period, it was 4.03 卤0.39 cm ~ (-1) and 5.08 卤0.62 cm ~ (-1) respectively. The thickness of the left pubic rectum in resting period and tension phase was 0.71 卤0.10 cm and 0.71 卤0.10 cm, respectively (P < 0.05). 0.60 卤0.08cm. The thickness of the right puborectum muscle was 0.68 卤0.08cm and 0.58 卤0.07cm, respectively. Conclusion: three dimensional ultrasound is an effective imaging method for evaluating pelvic floor structure in women.
【作者单位】：徐州医学院附属医院超声医学科;
【分类号】：R711.5;R445.1
【正文快照】： 女性盆底功能障碍性疾病(Female pelvic floordysfunction,FPFD)是指由于女性盆底结构和功能异常所引起的一系列疾病的总称,主要包括压力性尿失禁(Stress urinary incontinence,SUI)和盆底器官脱垂(Pelvic organ prolapse,POP)。盆膈裂孔是人体盆底最薄弱的部分,是盆底功能障

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