三维超声联合实时剪切波弹性成像对女性盆底功能障碍的诊断价值OA

Objective To explore the diagnostic value of three-dimensional ultrasound combined with real-time shear wave elastography(SWE)for female pelvic floor dysfunction(PFD).Methods 42 PFD puerperae with postpartum re-examination in our hospital from January 2022 to December 2023 were selected as study group,and 45 puerperae with normal pelvic floor function undergoing postpartum reexamination in our hospital during the same period were selected as control group.Both groups received three-dimensional ultrasound and real-time SWE.The LHA,LHLD,LHAP and Young's modulus values of the two groups were compared at resting and maximum anal contraction state,and the efficacy of LHA,LHLD,LHAP and Young's modulus values in single and combined diagnosis of PFD was analyzed.Results The LHA,LHLD and LHAP at resting and maximum anal contraction state in the study group were higher than those in the control group,and the Young's modulus was lower than that in the control group(P＜0.05).Receiver operating characteristic(ROC)curve analysis results showed that the area under the curve(AUC)of the combined diagnosis of PFD by LHA,LHLD,LHAP and Young's modulus was 0.862,higher than that of single index.Conclusions Three-dimensional ultrasound combined with real-time SWE can more accurately evaluate the pelvic floor function and has higher value in the diagnosis of female PFD.