经会阴三维超声观察肛提肌裂孔评估盆底功能障碍疾病患者的手术效果

发布时间：2018-06-08 11:29

本文选题：经会阴超声 + 三维　；参考：《中国超声医学杂志》2016年11期

【摘要】：目的应用经会阴三维超声观察肛提肌裂孔评估盆底功能障碍性疾病患者的手术效果。方法选取手术治疗的盆底功能障碍疾病患者45例作为手术组,同期体检者34例作为对照组,采用经会阴三维超声对对照组及手术组术前、术后3~4个月肛提肌裂孔进行观察评估。结果与对照组比较,手术组三种状态下的肛提肌裂孔前后径、左右径及面积均明显增大(P0.01);术后复查的手术组患者静息、缩肛状态下肛提肌裂孔前后径、左右径及面积明显缩小(P0.05),但与对照组仍有差异(P0.05)。结论经会阴三维超声可以直接测量肛提肌裂孔大小,观察其形态及内部结构,可以对患者术前、术后的肛提肌裂孔进行比较,用来评价盆底功能障碍性疾病患者的盆底功能。
[Abstract]:Objective to evaluate the surgical effect of pelvic floor dysfunction by observing the hiatus of levator ani muscle by transperineal three-dimensional ultrasound. Methods Forty-five patients with pelvic floor dysfunction were selected as the operation group and 34 patients as the control group. Three dimensional transperineal ultrasound was used to observe and evaluate the levator ani muscle fissure before operation and 3 ~ 4 months after operation in the control group and the operation group. Results compared with the control group, the anterior and posterior diameter, left and right diameter and area of levator ani muscle hiatus in the operation group were significantly increased in three states, and the postoperative patients in the operation group were at rest and the anterior and posterior diameters of the levator ani muscle hiatus under the anus contraction state were at rest. The diameter and area of the left and right were significantly reduced (P 0.05), but there was still a difference between the control group and the control group (P 0.05). Conclusion the size, morphology and internal structure of levator ani muscle hiatus can be measured directly by transperineal three-dimensional ultrasound. It can be used to evaluate pelvic floor function in patients with pelvic floor dysfunction by comparing the sphincter lacunae before and after operation.
【作者单位】：中国医科大学附属第一医院超声科;
【分类号】：R445.1;R711.5

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