目的:计算盆底器官脱垂患者盆膈裂孔面积截断值及盆膈裂孔面积与盆底功能障碍患疾病的相关性。方法:本研究对178例确诊为盆底功能障碍的女性患者行经会阴实时三维超声检查,对盆膈裂孔面积进行测量,并分析其与器官脱垂患者严重程度的相关性。结果:盆底器官脱垂患者盆膈裂孔面积截断值为25.5 cm2,同时,盆腔器官脱垂患者严重程度、压力性尿失禁与盆膈裂孔面积之间的相关系数分别为0.74、0.45。结论:获得盆底器官脱垂患者盆膈裂孔面积截断值,同时,盆底器官脱垂严重程度与盆膈裂孔面积呈明显正相关。
Abstract
Objective: To obtain the cut-off value of the area of the pelvic diaphragmatic hiatus and analyze the correlation between the area and the severity degree of patients with pelvic organ prolapse(POP) and stress urinary incontinence(SUI). Methods: One hundred and seventy-eight women diagnosed with pelvic floor dysfunction were examined by real-time three-dimensional ultrasound of the perineum. The area of the pelvic diaphragmatic hiatus was measured, and the correlations of the area and the severity degree between POP and SUI were analyzed. Results: The cut-off area of the pelvic diaphragmatic hiatus in patients with POP was 25.5 cm2. Meanwhile, the correlation values between the severity degree of POP and SUI were 0.74 and 0.45 respectively. Conclusion: The cut-off value of pelvic diaphragmatic hiatus in patients with POP was available and the severity of POP was positively related to the area of the pelvic diaphragmatic hiatus obviously.
关键词
骨盆底 /
脱垂 /
超声检查
Key words
Pelvic floor /
Prolaspe /
Ultrasonography
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1]Bump RC, Mattiasson A. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction[J]. Am J Obstet Gynecol, 1996, 175(1): 10-17.
[2]Bernard T, Haylen I, Christopher F, et al. An International Urogynecological Association(IUGA)/International Society(ICS) joint report on the terminology for female pelvic organ prolapse(POP)[J]. Urogynecol J, 2016, 27(2): 165-194.
[3]Dietz HP, Simpson JM. Levator trauma is associated with pelvic organ prolapse[J]. BJOG, 2008, 115(8): 979-984.
[4]Kim CM, Jeon MJ, Chung DJ, et al. Risk factors for pelvic organ prolapse[J]. Int J Gynecol Obstet, 2007, 98(3): 248-251.
[5]海宁,朱兰,郎景和. 盆底障碍性疾病盆底自主收缩肌肉力量研究[J]. 生殖医学杂志,2008,17(5):321-324.
[6]朱兆领,应涛,邵春娟,等. 二维高频超声对未育女性耻骨直肠肌的影像学观察[J]. 中国超声医学杂志,2010,26(9):830-833.
[7]Dietz HP, Shek C, Deleon J, et al. Ballooning of the levator hiatus[J]. Ultrasound Obstet Gynecol, 2008, 31(10): 676-680.