经会阴实时三维超声在女性后盆腔功能障碍所致便秘中的诊断价值

发布时间：2018-04-01 16:49

本文选题：超声　切入点：便秘　出处：《中国超声医学杂志》2017年05期

【摘要】：目的探讨经会阴实时三维超声对女性后盆腔功能障碍所致便秘的诊断价值并讨论该类疾病的声像图表现。方法应用经会阴实时三维超声观察92例便秘患者张力期肛管、直肠的运动情况,测量直肠壶腹部至耻骨联合内下缘水平线的距离及膨出高度,测量静息期及张力期肛直角,对不同类型的后盆腔功能障碍性疾病进行诊断。结果经会阴实时三维超声诊断61例后盆腔功能障碍性疾病患者,其中直肠膨出21例、肠疝4例、会阴体运动过度27例、盆底失弛缓综合征9例。结论经会阴实时三维超声能够提供有价值的后盆腔解剖和功能信息,是一种能够有效识别后盆腔功能障碍所致便秘疾病分型的影像学检查技术。
[Abstract]:Objective to evaluate the diagnostic value of transperineal real-time three-dimensional ultrasonography in the diagnosis of constipation caused by posterior pelvic dysfunction in women and to discuss the sonographic manifestations of these diseases.Methods the motion of anal canal and rectum in 92 patients with constipation during tension period was observed by transperineal real-time three-dimensional ultrasound. The distance from ampulla of rectum to the horizontal line of the lower margin of pubic symphysis was measured, and the anal right angle during resting period and tension period was measured.Different types of posterior pelvic dysfunction were diagnosed.Results Sixty-one patients with posterior pelvic dysfunction were diagnosed by transperineal real-time three-dimensional ultrasound, including 21 patients with rectocele, 4 patients with intestinal hernia, 27 patients with perineal body hypermobility and 9 patients with pelvic floor achalasia syndrome.Conclusion Transperineal real-time three-dimensional ultrasound can provide valuable post-pelvic anatomic and functional information and is an effective imaging technique for classification of constipation due to post-pelvic dysfunction.
【作者单位】：滨州医学院附属医院超声医学科;上海交通大学附属第六人民医院超声医学科;
【基金】：滨州市科技发展计划项目(No.2014ZC0112)
【分类号】：R445.1;R574.62;R711.7

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