超声评价女性压力性尿失禁患者盆膈裂孔形态

发布时间：2018-02-11 21:30

本文关键词： 盆膈裂孔肛提肌压力性尿失禁超声检查三维　出处：《中国医学影像技术》2015年11期 　论文类型：期刊论文

【摘要】：目的探讨经会阴三维盆底图像重建技术评估女性压力性尿失禁患者不同状态下盆膈裂孔及肛提肌形态变化的价值。方法收集压力性尿失禁((SUI)患者40例(病例组)及同期妇科良性疾病患者各40例(对照组),对所有患者均于静息、瓦氏、缩肛状态下在盆膈裂孔最小平面上,进行经会阴三维超声容积扫查,重建盆底图像并观测盆膈裂孔(LH)前后径(LH-M)、左右径(LH-N)、面积(LH-S)、周长(LH-L)、肛提肌厚度(T),对两组间的差异进行统计学分析。结果静息、瓦氏、缩肛状态下病例组LH-M、LH-S、LH-L较对照组增大,LH-M、LH-S差异具有统计学意义(P均0.05),LH-N差异无统计学意义(P均0.05);缩肛状态下LH-L差异无统计学意义(P0.05),静息及瓦氏状态下,LH-L差异具有统计学意义(P0.05);静息状态下肛提肌厚度差异无统计学意义(P0.05),而瓦氏状态下和缩肛状态下右侧肛提肌厚度差异有统计学意义(P均0.05)。结论三维盆底图像重建技术可用于观测女性压力性尿失禁患者盆膈裂孔及肛提肌形态。
[Abstract]:Objective to evaluate the value of transperineal three-dimensional pelvic floor reconstruction in evaluating the morphological changes of pelvic diaphragm fissure and levator ani muscle in female patients with stress urinary incontinence under different conditions. Methods Forty patients with pressure urinary incontinence (Sui) were collected (case group). And 40 patients with benign gynecologic diseases in the same period (control group). At the minimum plane of pelvic and phrenic fissure, Val was scanned by transperineal three dimensional ultrasound volume. Reconstruction of pelvic floor image and observation of LH-Mian of the anterior and posterior diameter of the pelvic diaphragm fissure (LH), left and right diameter of LH-N, area of LH-SU, circumference of LH-LT, thickness of levator ani muscle were analyzed statistically. Results the difference between the two groups was statistically analyzed. There was no significant difference in LH-MU LH-S between the two groups (P < 0.05), no significant difference in LH-N (P = 0.05), no significant difference in LH-L (P 0.05) under anus contraction, and significant difference in LH-L in resting and Vapor's states. The difference of LH-L between the two groups was statistically significant compared with that in the control group (P < 0.05), but there was no significant difference in LH-N between the two groups (P < 0.05), but there was no significant difference in LH-L between the two groups under anus contraction. There was no significant difference in the thickness of levator ani muscle in resting state, but there was significant difference in thickness of right levator muscle in Waters' state and in constricted anus. Conclusion\\\; The shape of pelvic and phrenic fissure and levator ani muscle in patients with stress urinary incontinence.
【作者单位】：中国医科大学附属盛京医院超声科;沈阳市妇婴医院影像科超声室;
【分类号】：R445.1;R711.59

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