Application of Transperineal Pelvic Floor Two-Dimensional Ultrasound and Real-Time Three-Dimensional Ultrasound in the Evaluation of Female Urinary Incontinence and Bladder Prolapse
Objective To analyze the application of transperineal pelvic floor two-dimensional ultrasound and real-time three-dimensional ultrasound in the evaluation of female urinary incontinence(UI)and bladder prolapse.Methods Sixty female patients with UI and bladder prolapse were included in the Zhengzhou Seventh People's Hospital,who were admitted from February 2021 to February 2023 and were named as the observation group.Sixty female patients with normal pelvic floor function who underwent physical examination at the same time were also named as the control group.Both groups underwent transperineal pelvic floor two-dimensional and real-time three-dimensional ultrasound examinations.The anterior and posterior diameters,transverse diameters,areas,and thickness of the levator ani muscle of the pelvic diaphragm hiatus in different states were compared,and the diagnostic efficacy of the two examinations was analyzed,the ultrasound image features of the control group,UI,and bladder prolapse patients were analyzed.Results Compared with the control group,the observation group had a larger anterior and posterior diameter,transverse diameter,and area of the pelvic diaphragm hiatus under resting,tension,and anal constriction conditions,and a smaller thickness of the levator ani muscle(P＜0.05).Compared with two-dimensional ultrasound of the perineum and pelvic floor,real-time three-dimensional ultrasound had higher diagnostic accuracy,sensitivity,and negative predictive value for UI and bladder prolapse(P＜0.05).There was no statistically significant difference in the diagnostic specificity and positive predictive value between the two examination methods for UI and bladder prolapse(P＞0.05).Women with normal pelvic floor function:after Valsalva's maneuver,the distance between the bladder neck and the lower edge of the pubic symphysis was 12.6 mm,the posterior angle of the bladder urethra was 134.25 °,and the inclination angle of the urethra was 28.15 °.UI ultrasound image features:after Valsalva's maneuver,the distance between the bladder neck and the lower edge of the pubic symphysis was-15.1 mm,the posterior angle of the bladder urethra was 164.19 °,the inclination angle of the urethra was 59.83 °,and the urethral opening appears funnel-shaped.Ultrasound image features of bladder prolapse:after Valsalva's bladder urethral protrusion,the distance between the bladder neck and the lower edge of the pubic symphysis was-6.9 mm,the posterior angle of the bladder urethra was 146.71 °,the inclination angle of the urethra was 54.87 °,and there was no obvious opening of the urethral opening.Solitary bladder protrusion:the distance between the neck of the posterior bladder and the lower edge of the pubic symphysis after Valsalva was-10.0 mm,the distance between the lowest point of the posterior wall of the bladder and the lower edge of the bladder neck and pubic symphysis was-24.3 mm,the posterior angle of the bladder urethra was 82.52 °,and the inclination angle of the urethra was 108.55 °.Conclusion Compared with transperineal pelvic floor two-dimensional ultrasound,real-time three-dimensional ultrasound has higher diagnostic accuracy and sensitivity for female UI and bladder prolapse patients,and the ultrasound image features of UI and bladder prolapse patients are significantly different.The application value of real-time three-dimensional ultrasound is higher.
万方数据
维普
