Clinical value of four-dimensional pelvic floor ultrasound diagnosis in postpartum pelvic floor dysfunction diseases of parturients
产妇产后盆底功能障碍性疾病应用四维盆底超声诊断的临床价值研究

摘要

目的 分析四维盆底超声诊断产妇产后盆底功能障碍性疾病的临床价值。方法 采集2023年1月-2025年1月于我院分娩的产妇病例，选取其中100例符合本次研究标准者作为研究对象，对其均采用四维盆底超声诊断，其中50例诊断后患有产后盆底功能障碍性疾病（研究组），另外50例则为产后正常者（参照组），比较两组产妇的盆底超声参数，分析四维盆底超声在产妇产后盆底功能障碍性疾病诊断中的敏感性、特异性和准确性。结果 结果显示，肛提肌裂孔面积、膀胱颈移动度、尿道旋转角度各项数据研究组均高于参照组，且差异明显（P＜0.05）；四维盆底超声在产妇产后盆底功能障碍性疾病诊断中的敏感性为87.50%（42/48），特异性为92.00%（46/50），准确性为90.00%（90/100）。结论 本次研究结果体现四维盆底超声诊断产妇产后盆底功能障碍性疾病的临床价值较高，能够为产妇产后盆底功能障碍性疾病的早期诊断和治疗提供有力的影像学依据，建议推广应用。

Abstract

Objective To analyze the clinical value of four-dimensional pelvic floor ultrasound in the diagnosis of postpartum pelvic floor dysfunction diseases.
Methods collected in January 2023-January 2025 in our delivery of maternal cases, of 100 cases meet the study criteria as the research object, using four dimensional pelvic floor ultrasound diagnosis, diagnosis of 50 cases with postpartum pelvic floor dysfunction disease (group), the other 50 cases are postpartum normal (reference group), compare the two groups of maternal pelvic floor ultrasound parameters, analyze the sensitivity, specificity and accuracy of four-dimensional pelvic floor ultrasound in the diagnosis of maternal postpartum pelvic floor dysfunction disease. The results showed that the difference of the data was higher than that of the reference group (P <0.05), the sensitivity of four-dimensional pelvic floor ultrasound was 87.50% (42 / 48), specificity was 92.00% (46 / 50), and accuracy was 90.00% (90 / 100).
Conclusion   The results of this study reflect that the clinical value of four-dimensional pelvic floor dysfunction is high, and can provide strong imaging basis for the early diagnosis and treatment of postpartum pelvic floor dysfunction, which is suggested to promote and apply.