Diagnostic Value of Three-Dimensional Volumetric Ultrasound Combined with Two-Dimensional Ul-trasound in Female Voiding Disorders
[Objective]To explore the diagnostic value of three-dimensional volume ultrasound combined with two-di-mensional ultrasound in female voiding disorders.[Methods]From March 2021 to October 2022,105 female patients with dysuria treated in our hospital were selected as the observation group,and 105 healthy women who underwent physical ex-amination in our hospital were selected as the control group.All the candidates were given three-dimensional volumetric ul-trasonography combined with two-dimensional ultrasonography to record the ultrasonic characteristics and determine the di-agnostic value.[Results]In the resting state,the two-dimensional ultrasound examination indicators of bladder detrusor muscle thickness,the posterior Angle of bladder and urethra and internal urethral orifice funnel formation rate in the obser-vation group were significantly higher than those in control group(P＜0.05).In the resting state,the three-dimensional volume ultrasound examination indicators of the position of the bladder neck on the X-axis(X1)and the posterior angle of the bladder and urethra(α1)in the observation group were significantly higher than those in the control group(P＜0.05).The position of the bladder neck on the Y axis(Y1)and the length of the proximal functional urethra(h1)in the observa-tion group were significantly lower than those in the control group(P＜0.05).ROC curve analysis showed that the maxi-mum area under the curve of 2D ultrasound,3D volumetric ultrasound,and 3D volumetric ultrasound combined with 2D ultrasound for the diagnosis of female urinary disorder was 0.650,0.720 and 0.775,respectively.Unconditional logistic re-gression analysis showed that the thickness of bladder detrusor muscle,the posterior Angle of bladder and urethra,the rate of funnel formation,X1,α1,Y1 and h1 were all important factors affecting the occurrence of female voiding disorder(P＜0.05).[Conclusion]Three-dimensional volumetry ultrasound combined with two-dimensional ultrasound has great poten-tial,which is of great value in the diagnosis of female voiding disorders and worthy of promotion and application.
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