智能盆底超声联合经腔内OmniView三维超声应用于女性盆底功能障碍性疾病的诊断价值探讨

摘要/Abstract

摘要： 目的探讨与判定智能盆底超声联合经腔内OmniView三维超声应用于女性盆底功能障碍性疾病的诊断价值。方法选择2021年1月—2023年7月新疆维吾尔自治区伊犁哈萨克自治州妇幼保健院收治的女性盆底功能障碍性疾病患者2000例作为病例组,同期选择常规体检的健康无盆底功能障碍女性人群2 000例作为对照组。所有人群都给予智能盆底超声联合经腔内OmniView三维超声检查,记录超声特征并判断诊断价值。结果两组智能盆底超声相关指标——膀胱颈位置、膀胱后角比较,差异无统计学意义（P>0.05）,病例组膀胱颈移动度高于对照组,差异有统计学意义（P<0.05）。病例组腔内OmniView三维超声相关指标——肛提肌裂孔前后径、肛提肌裂孔周径、肛提肌裂孔左右径、肛提肌裂孔面积都显著低于对照组,差异有统计学意义（P<0.05）。智能盆底超声联合经腔内OmniView三维超声对盆底功能障碍性疾病的检出率高于单纯智能盆底超声,差异有统计学意义（P<0.05）。ROC曲线分析显示智能盆底超声联合经腔内OmniView三维超声应用于女性盆底功能障碍性疾病的曲线下面积为0.931。结论智能盆底超声联合经腔内OmniView三维超声应用于女性盆底功能障碍性疾病可有效反映个体的盆腔结构与生理功能,具有较高检出率和诊断价值。

关键词: 智能盆底超声, 腔内OmniView三维超声, 女性盆底功能障碍性疾病, 敏感性, 特异性

Abstract: Objective To investigate the diagnostic value of intelligent pelvic floor ultrasound combined with transOmniView 3D ultrasound in female pelvic floor dysfunction diseases. Methods A total of 2000 female patients with pelvic floor dysfunction treated from January 2021 to July 2023 were selected as the case group, and 2000 healthy women with no pelvic floor dysfunction in the hospital were selected as the control group. All populations were given intelligent pelvic floor ultrasound combined with transluminal OmniView 3D ultrasound to record ultrasound features and determine the diagnostic value. Results There was no significant difference in the comparison of intelligent pelvic floor ultrasound-bladder neck position and the bladder posterior angle (P>0.05), and the degree of bladder neck movement in the case group was significantly higher than that in the control group (P<0.05). The relevant indicators of intraluminal Omni View-anterior and posterior diameter, periferential diameter of levator fissure, left and right diameter of levator fissure, and fissure area of levator fissure were significantly lower than that of the control group (P<0.05). Intelligent pelvic floor ultrasound combined with the cavity OmniView 3 d ultrasound for pelvic floor dysfunction disease detection rate is significantly higher than simple intelligent pelvic floor ultrasound (P<0.05). The ROC curve analysis showed that the area under the curve of intelligent pelvic floor ultrasound combined with transluminal Omni View three-dimensional ultrasound for female pelvic floor dysfunction diseases was 0.931. Conclusion Intelligent pelvic floor ultrasound combined with OmniView 3 D ultrasound in female pelvic floor dysfunction diseases can effectively reflect individual pelvic structure and physiological function, with a high detection rate and high diagnostic value.

Key words: intelligent pelvic floor ultrasound, OmniView 3 D ultrasound, female pelvic floor dysfunction, sensitivity, specificity

中图分类号:

R711.5

牛红霞, 陈新雨, 赛尼娅·马那甫. 智能盆底超声联合经腔内OmniView三维超声应用于女性盆底功能障碍性疾病的诊断价值探讨[J]. 中华养生保健, 2024, 42(10): 6-9.

NIU Hongxia, CHE Xinyu, SEINIYA Manafu. Exploring the Diagnostic Value of Intelligent Pelvic Floor Ultrasound Combined with Transluminal OmniView 3 D Ultrasound in Female Pelvic Floor Dysfunction Diseases[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(10): 6-9.

参考文献

[1] 罗燕拿,游佳,符瑞玲,等.经会阴三维超声诊断子宫全切术盆底功能障碍的临床价值[J].医学影像学杂志,2023,33(3):528-530.
[2] 牟瑞雪,向红,周慧丽.经会阴三维超声检查对子宫全切术后盆底功能障碍的诊断价值[J].医学影像学杂志,2023,33(1):86-90.
[3] 王亦丹,王明婷,陈伶,等.经会阴超声评估产后早期盆底功能的观察性研究[J].东南大学学报(医学版),2023,42(2):294-298.
[4] 刘江华,吴珠青.超声检查剖宫产后压力性尿失禁和盆底功能的应用分析[J].医学影像学杂志,2023,33(4):721-724.
[5] 和敏,李娜.经会阴部三维盆底超声动态对评估孕期和产后盆底结构与功能的临床意义[J].贵州医药,2023,47(4):614-615.
[6] 王丽,周昳波,韩爽,等.经会阴三维超声检查技术在经阴分娩产妇产后盆底功能评估中的应用[J].山东医药,2023,63(11):71-73.
[7] 黄泽萍,钱佩佩,白植斌,等.经会阴三维盆底超声评估第二产程时长对产后早期盆底功能的影响[J].中国超声医学杂志,2022,38(5):558-561.
[8] 叶伟丽,靳鹏,解朕,等.经会阴实时三维超声在产后盆底功能障碍性疾病患者磁电联合修复方案治疗中的临床意义[J].中国超声医学杂志,2022,38(11):1315-1318.
[9] 张萌,司晓霖,张广英.女性盆底功能障碍性便秘病人耻骨直肠肌功能的盆底超声研究进展[J].国际医学放射学杂志,2022,45(5):582-587.
[10] 钱柏伶,杨敏,顾小宁,等.经会阴盆底超声用于督导盆底功能障碍患者盆底肌训练并定量评估疗效[J].中国医学影像技术,2022,38(5):726-729.
[11] 李宗克,潘鸿,郑慧君.盆底超声参数与剖宫产后盆底功能的关系及对压力性尿失禁的预测研究[J].中国性科学,2022,31(3):112-116.
[12] 包佳文,林能文,彭建国,等.四维盆底超声在不同分娩方式女性盆底结构和功能判断中的应用价值[J].临床和实验医学杂志,2022,21(17):1891-1894.
[13] 马丽媛,陆冰,邓学东,等.盆底超声技术评估椎管内阻滞分娩镇痛对初产妇产后早期盆底功能的影响[J].广西医学,2022,44(4):403-406.
[14] 李丹,高小莉,耿英英.四维盆底超声在初产妇盆底功能障碍性疾病中的应用效果观察[J].贵州医药,2022,46(9):1477-1478.
[15] 张慧,张晓燕,宋晶,等.宫颈癌术后盆底功能障碍患者盆底电生理指标与盆底超声检查结果相关性分析[J].空军航空医学,2022,39(6):311-315.
[16] 党苗苗,李转平.盆底组织结构四维超声参数与盆底功能性障碍的相关性分析[J].贵州医药,2022,46(11):1806-1808.
[17] 覃艳玲,蒋江帆,潘素丽,等.经会阴超声对女性盆底功能障碍性疾病的观察和评估[J].中国超声医学杂志,2013,29(12):1130-1132.
[18] 冯海兵. 经会阴三维超声盆底超声、MRI检查在诊断女性盆底功能障碍性疾病的临床价值[J].中国CT和MRI杂志,2021,19(3):118-120.
[19] 李惠兰,胡伟,熊俊.经会阴三维超声评估女性产后盆底功能障碍性疾病与雌激素水平的相关性分析[J].中国性科学,2021,30(7):69-71.
[20] 张玉秀,邢静,王一清,等.经会阴四维盆底超声对初产妇盆底功能障碍性疾病的研究[J].医学影像学杂志,2021,31(5):846-849,853.