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目的应用经会阴三维超声观察肛提肌裂孔评估盆底功能障碍性疾病患者的手术效果。方法选取手术治疗的盆底功能障碍疾病患者45例作为手术组,同期体检者34例作为对照组,采用经会阴三维超声对对照组及手术组术前、术后3~4个月肛提肌裂孔进行观察评估。结果与对照组比较,手术组三种状态下的肛提肌裂孔前后径、左右径及面积均明显增大(P<0.01);术后复查的手术组患者静息、缩肛状态下肛提肌裂孔前后径、左右径及面积明显缩小(P<0.05),但与对照组仍有差异(P<0.05)。结论经会阴三维超声可以直接测量肛提肌裂孔大小,观察其形态及内部结构,可以对患者术前、术后的肛提肌裂孔进行比较,用来评价盆底功能障碍性疾病患者的盆底功能。
Objective To evaluate the surgical effect of pelvic floor dysfunction by observing the levator ani muscle hole by three-dimensional ultrasound of the perineum. Methods Forty-five patients with pelvic floor dysfunction who underwent surgery were selected as the operation group and 34 as the control group during the same period. The patients in the control group and the operation group were treated with the three-dimensional ultrasonography of the perineum before and 3 to 4 months after operation. Holes were observed and evaluated. Results Compared with the control group, the anteroposterior diameter, left and right diameter and area of the levator ani muscle lobule in the three groups were all significantly increased (P <0.01). After operation, the anus Myofilament diameter before and after, left and right diameter and area was significantly reduced (P <0.05), but still different from the control group (P <0.05). Conclusion Three-dimensional ultrasound of the perineum can directly measure the size of the levator ani muscle and observe the shape and internal structure of the levator ani muscle, and can compare preoperative and postoperative levator ani muscle lobes to evaluate the pelvic floor of patients with pelvic floor dysfunction disease Features.