【摘要】 目的:通过盆底超声分析经阴道使用网片的盆底重建术(TVM)前后肛提肌面积改变,客观评价TVM疗效。方法:收治盆底器官脱垂(POP)接受TVM且痊愈患者30例,分别于术前、术后3个月在静息、Valsalva和缩肛状态下行会阴超声学检查,比较手术前后肛提肌裂孔的变化。结果:3种状态下,术后肛提肌面积明显缩小(静息:P<0.05,valsalva:P<0.05,缩肛:P<0.05)。结论:TVM是治疗盆底器官脱垂的有效手段,缩小肛提肌裂孔面积,达到悬吊盆腔脱垂器官的目的,无法改变肛提肌断裂状况及其厚度。更多还原

【Abstract】 Objective:The changes of levator ani muscle area before and after transvaginal pelvic floor reconstruction(TVM)were analyzed by pelvic floor ultrasound,and the effect of TVM was evaluated objectively.Methods:30 patients with pelvic floor organ prolapse(POP)received TVM and were cured and selected,the perineal ultrasound examination was performed at rest,Valsalva and anorectal status 3 months before and 3 months after operation,and the changes of levator sacral pores before and after surgery were compared.Results:The area of levator ani muscle was significantly reduced in three states(rest:P<0.05,valsalva:P<0.05,anal contraction:P<0.05).Conclusion:TVM is an effective method to treat POP.It can reduce the area of levator ani muscle hiatus and achieve the purpose of suspending pelvic prolapse organs.It can not change the severity and thickness of levator ani muscle.更多还原