【摘要】 目的探讨动态三维超声联合直肠超声评估女性盆底功能障碍相关性便秘。方法选取2014年1月~2016年12月来我院就诊的68例女性盆底功能障碍相关性便秘患者进行分析,所有患者均进行动态三维超声联合直肠超声检查,观察静息状态下、力排状态下盆底器官结构的变化,并测量膀胱、子宫或直肠的脱垂,肛提肌的厚度、盆底裂孔的前后径、左右径、面积、周长、会阴下降的距离等技术指标,并与MRI排粪造影进行对照。结果动态三维超声联合直肠超声检查的静息状态下、力排状态下盆底器官结构的变化与MRI排粪造影无明显差异(P>0.05);动态三维超声联合直肠超声检查的膀胱、子宫或直肠的脱垂,肛提肌的厚度、盆底裂孔的前后径、左右径、面积、周长、会阴下降的距离等技术指标与MRI排粪造影基本一致,无统计学意义(P>0.05)。结论动态三维超声联合直肠超声可以准确的判断女性盆底功能障碍相关性便秘,检查的结果和MRI排粪造影结果一致。更多还原

【Abstract】 Objective To study the dynamic three-dimensional ultrasound combined with transrectal ultrasound in the assessment of female pelvic floor dysfunction associated constipation. Methods A total of 68 cases of female pelvic floor dysfunction correlation constipation patients admitted to our hospital from January 2014 to December 2016 were analyzed. All patients underwent dynamic three-dimensional ultrasound combined with transrectal ultrasound, to observe the changes of the resting state, ability of pelvic organ structure state, and measurement of bladder, uterus and rectum prolapse, levator ani muscle thickness, pelvic floor hole diameter, diameter, area, perimeter, distance and other technical indicators of perineum decline, and compared with MRI defecography. Results Under the resting state and the stress change, the dynamic three-dimensional ultrasound combined with transrectal ultrasound showed that there were no significant difference(P>0.05) between row pelvic organ structure and MRI defecography condition. There were no significant difference between the dynamic three-dimensional ultrasound combined with transrectal ultrasound and the MRI defecography in examination of the urinary bladder, uterus and rectum prolapse, levator ani muscle thickness, hole diameter and pelvic floor about, diameter, area, perimeter, distance and other technical indicators(P>0.05). Conclusion Dynamic threedimensional ultrasound combined with transrectal ultrasound can accurately determine the female pelvic floor dysfunction related to constipation, examination results and MRI defecography results.更多还原