巴楚医学2026，Vol.9Issue(1)：57-63,7.DOI:10.3969/j.issn.2096-6113.2026.01.007
经会阴盆底超声参数联合腹直肌分离度在盆底功能障碍性疾病中的诊断价值
Diagnostic Value of Transperineal Pelvic Floor Ultrasound Parameters Combined with Rectus Abdominis Muscle Separation in Pelvic Floor Dysfunction Diseases
摘要
Abstract
Objective:To evaluate the diagnostic value of transperineal pelvic floor ultrasound parameters combined with rectus abdominis diastasis in pelvic floor dysfunction diseases(PFD).Methods:A total of 212 postpartum women who gave birth at Yichang Central People's Hospital from January 2023 to January 2024 and underwent postpartum follow-up 42 days after delivery were selected as the study subjects.They were divided into PFD group(n=98)and non-PFD group(n=114)according to whether PFD occurred.The differences in transperineal pelvic floor ultrasound parameters and rectus abdominis muscle separation between two groups at rest and during maximum Valsalva maneuver were compared.Multivariate Logistic regression analysis was used to identify risk factors for PFD.The receiver operating characteristic(ROC)curve was drawn to analyze the diagnostic efficacy of transperineal pelvic floor ultrasound parameters combined with rectus abdominis muscle separation in PFD.Results:Multivariate Logistic regression analysis showed that levator ani hiatus area(LHA),bladder neck descent(BND),urethral rotation angle(URA),funneling rate of the internal urethral orifice during the maximum Valsava maneuver,and the degree of rectus abdominis separation were the influencing factors for the occurrence of PFD in postpartum parturients(all P＜0.05).The ROC curve showed that the sensitivity of LHA,BND,URA,and the funneling rate of the internal urethral orifice during the maximum Valsalva maneuver and the degree of rectus abdominis separation in diagnosing PFD alone were 80.36％,60.46％,88.42％,75.68％and 67.81％respectively,and the specificity were 45.37％,93.82％,55.37％,49.37％and 61.93％respectively,with AUCs of 0.673,0.832,0.795,0.618 and 0.736 respectively.The diagnostic sensitivity of pelvic floor ultrasound parameters combined with rectus abdominis muscle separation in PFD was 80.56％,specificity was 96.05％,and AUC was 0.927.Conclusion:The combination of transperineal pelvic floor ultrasound parameters and rectus abdominis diastasis can significantly enhance the diagnostic efficiency of PFD,exhibiting superior clinical diagnostic performance compared to single-parameter evaluation.关键词
盆底功能障碍性疾病/经会阴盆底超声参数/腹直肌分离度/诊断效能Key words
pelvic floor dysfunction(PFD)/transperineal pelvic floor ultrasound parameters/degree of rectus abdominis diastasis/diagnostic performance分类
医药卫生引用本文复制引用
杨丹,李琼兰,向小庆..经会阴盆底超声参数联合腹直肌分离度在盆底功能障碍性疾病中的诊断价值[J].巴楚医学,2026,9(1):57-63,7.基金项目
湖北省教育厅科学研究计划青年人才项目(Q20231202) （Q20231202）
