Value of transperineal three-dimensional ultrasound in the diagnosis and treatment evaluation of pelvic floor dysfunction diseases
Objective To analyze the value of transperineal three-dimensional ultrasound in the diagnosis and treatment evalu-ation of pelvic floor dysfunction(PFD)diseases,with the aim of providing a reference for clinical decision-making.Methods A total of 64 patients with PFD treated at a hospital in Chongqing from March 2021 to December 2022 were selected as the PFD group,while 65 healthy women without a PFD history who underwent health check-ups during the same period were selected as the control group.Transperineal three-dimensional ultrasound was used to examine the anteroposterior diameter,transverse diameter,area of the pelvic diaphragm hiatus,and levator ani muscle thickness in both groups under different states.The pre-and post-treatment pelvic structural and functional recovery in the PFD group was assessed.The diagnostic efficacy of transperineal two-dimensional and three-dimensional ultrasound for PFD was compared.Results In the PFD group,the antero-posterior diameter,transverse diameter,and area of the pelvic diaphragm hiatus in resting,Valsalva maneuver,and anal contraction states were all significantly larger than those in the control group,while the levator ani muscle thickness was significantly smaller than that in the control group(P＜0.05).After treatment,the cervical descent distance,bladder neck descent distance,and ure-thral rotation angle in the PFD group were all significantly smaller than those before treatment(P＜0.05).The sensitivity,speci-ficity,and accuracy of transperineal two-dimensional ultrasound in diagnosing PFD were 73.44％,52.31％,and 62.79％,respec-tively,while the sensitivity,specificity,and accuracy of transperineal three-dimensional ultrasound were 92.19％,95.38％,and 93.80％,respectively.The sensitivity,specificity,and accuracy of three-dimensional ultrasound for diagnosing PFD were all significantly higher than those of two-dimensional ultrasound(P＜0.05).Conclusion Transperineal three-dimen-sional ultrasound is superior to two-dimensional ultrasound in the diagnosis and treatment evaluation of PFD.Three-dimen-sional ultrasound provides more accurate visualization of pelvic floor structures,avoids the imaging limitations of two-dimen-sional ultrasound thanks to its stereoscopic nature,and offers better detail and measurement accuracy.It is an important tool for the clinical diagnosis and treatment evaluation of PFD and is worthy of clinical promotion.
万方数据
维普
