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目的探讨三维超声在女性盆底功能障碍患者盆底检查中的应用价值。方法从2015年2月至2016年2月在我院妇产科分娩并经病理检查确诊为盆底功能障碍的患者当中抽取90例作为临床研究对象。所有产妇均行二维超声检查和三维超声检查。收集两种检查方式的检查结果,并进行对比分析。结果与病理检查结果相比,三维超声检查的准确率为98.89%,二维超声检查的准确率为88.89%,前者的检查准确率明显高于后者,结果对比差异显著(P<0.05)。三维超声检查对盆腔器管脱垂、尿失禁的检出率分别为76.00%,62.50%;二维超声检查对盆腔器官脱垂、尿失禁的检出率分别为56.00%,40.00%,前者的检出率明显高于后者,结果对比差异显著(P<0.05)。结论三维超声检查能够动态观测到女性盆底功能障碍患者的盆底解剖结构及功能状况,并有助于早期盆底功能障碍性疾病的诊断,值得临床推广使用。
Objective To investigate the value of three-dimensional ultrasonography in pelvic examination of female patients with pelvic floor dysfunction. Methods From February 2015 to February 2016 in our hospital obstetrics and gynecology obstetric delivery and confirmed by pathological examination of pelvic floor dysfunction among 90 patients were selected as the clinical research object. All mothers underwent two-dimensional ultrasound and three-dimensional ultrasound. Collect the inspection result of two kinds of inspection ways, and carry on comparative analysis. Results Compared with the results of pathological examination, the accuracy of three-dimensional ultrasonography was 98.89% and the accuracy of two-dimensional ultrasonography was 88.89%. The accuracy of the former was significantly higher than that of the latter (P <0.05). Three-dimensional ultrasound examination of pelvic canal prolapse, urinary incontinence detection rates were 76.00%, 62.50%; two-dimensional ultrasound examination pelvic organ prolapse, urinary incontinence were 56.00%, 40.00%, the former The detection rate was significantly higher than the latter, the results were significantly different (P <0.05). Conclusion Three-dimensional ultrasonography can dynamically observe the pelvic floor anatomy and functional status of women with pelvic floor dysfunction and contribute to the early diagnosis of pelvic floor dysfunction, which is worthy of clinical promotion.