国际医药卫生导报2025，Vol.31Issue(10)：1615-1619,5.DOI:10.3760/cma.j.cn441417-20240805-10006
经会阴超声联合剪切波弹性成像在盆底功能障碍中的诊断价值
Value of transperineal ultrasound combined with shear wave elastography in diagnosis of pelvic floor dysfunction
摘要
Abstract
Objective To explore the value of transperineal ultrasound combined with shear wave elastography(SWE)in the diagnosis of pelvic floor dysfunction(PFD).Methods This was a retrospective study.One hundred and twenty patients with PFD treated at Yulin Hospital,The First Affiliated Hospital of Xi'an Jiaotong University from October 2021 to October 2023 were selected as a study group;82 healthy women who received physical examination during the same period were selected as a control group.All the subjects took transperineal ultrasound and SWE examinations.The general data(age,body mass index,parity,and education level)and parameters of transperineal ultrasound and SWE examinations under different conditions were collected in both groups.The accuracy rates of different examination methods in the diagnosis of PDF were compared.t and x2 tests were use for the statistical comparisons.The receiver operating characteristic curve(ROC)was applied to evaluate the value of transperineal ultrasound combined with SWE in the diagnosis of PFD.Results There were no statistical differences in age,body mass index,parity,and education level between the two groups(all P＞0.05).Under different conditions,the anteroposterior diameter,left-right diameter,and area of anal levator hiatus in the study group were larger than those in the control group,while the Young's modulus of puborectal muscle(PR)was lower(all P＜0.05).The accurate rates of transperineal ultrasound,SWE,and their combination in the detection of PDF were 86.67％(104/120),90.83％(109/120),and 97.50％(117/120),respectively;the accurate rate of the combination was higher than those of transperineal ultrasound and SWE(both P＜0.05).The ROC results showed that the areas under the curves(AUC)of the anteroposterior diameter,left-right diameter,and area of anal levator hiatus and the Young's modulus of PR for PFD were 0.622,0.569,0.676,0.638,0.643,0.586,0.680,and 0.694(all P＜0.05),respectively,and the AUC of the combined diagnosis was 0.846(P＜0.05).Conclusion Transperineal ultrasound combined with SWE has high diagnostic value fir PFD.关键词
剪切波弹性成像/经会阴超声/盆底功能障碍/联合诊断Key words
Shear wave elastography/Transperineal ultrasound/Pelvic floor dysfunction/Combined diagnosis引用本文复制引用
高鑫,高晓婷,陈欣,穆靓,薛小梅,贺静..经会阴超声联合剪切波弹性成像在盆底功能障碍中的诊断价值[J].国际医药卫生导报,2025,31(10):1615-1619,5.基金项目
陕西省重点研发计划(2021SF-199) Key Plan of Research and Development in Shaanxi(2021SF-199) （2021SF-199）
