摘要
Abstract
Objective:To analyze the clinical application of pelvic floor ultrasound in the diagnosis of anorectal angle changes in patients with different degrees of uterine prolapse.Methods:A retrospective analysis was conducted on 82 female patients who underwent pelvic floor ultrasound examination in our hospital from January 2020 to Decem-ber 2022.The degrees of uterine prolapse and complications of uterine prolapse were statistically analyzed through pelvic floor ultrasound examination and surgical pathology examination.The ARA of patients with different degrees of uterine prolapse were also statistically analyzed,and the degrees of uterine prolapse before and after treatment was statistically analyzed.Results:The difference in accuracy between pelvic floor ultrasound examination and sur-gical pathology examination for uterine prolapse between 93.90％(77/82)and 100.00％(82/82)is not statistically significant(x2=3.301,P＞0.05).The incidence of vaginal anterior wall protrusion,posterior wall protrusion,and anterior and posterior wall protrusion in pelvic floor ultrasound examination and surgical pathology examination was 41.46％(34/82),41.46％(34/82),10.98％(9/82)vs 45.12％(37/82),42.68％(35/82),and 12.20％(10/82),and the difference between them was not statistically significant(x2=0.037,P＜0.05).The vARA of patients with second degree,third degree,and fourth degree uterine prolapse was higher than that of patients with-out and with first degree prolapse,and the difference was statistically significant(P＜0.05).The change in ARA in Valsalva state was greater than that in patients without and with first degree prolapse,and the difference was statistically significant(P＜0.05).The change in ARA in Valsalva state was greater than that in patients with first degree prolapse,The difference was statistically significant(P＜0.05),but the differences in rARA,cARA,and ARA changes under anal contraction in patients with different degrees of uterine prolapse were not statistically sig-nificant(P＞0.05).The proportion of non prolapse and degree Ⅰ prolapse gradually increased before treatment,one course of treatment,and three courses of treatment,while the proportion of degree Ⅱ,Ⅲ,and Ⅳ prolapse gradu-ally decreased,with statistical significance(P＜0.05).The circumference and area of the levator ani muscle hiatus gradually decreased,with statistical significance(P＜0.05).Conclusion:The clinical application value of pelvic floor ultrasound in the diagnosis of anorectal angle changes in patients with varying degrees of uterine prolapse is high,the degree of uterine prolapse is related to vARA and the changes in ARA in Valsalva states.关键词
子宫脱垂/不同程度/盆底超声检查/手术病理检查/肛直肠角/子宫脱垂合并症Key words
Uterine prolapse/To varying degrees/Pelvic floor ultrasound examination/Surgical pathological ex-amination/Anorectal angle/Complications of uterine prolapse分类
医药卫生
