经会阴超声评估女性产后前盆腔脏器脱垂的临床研究

摘要

Objective To research clinical value by transperineal ultrasound in evaluation of female postpartum anterior pelvic organ prolapse. Methods A total of 51 puerpera with anterior pelvic organ prolapse received evaluation respectively by transperineal ultrasound and pelvic organ prolapse quantification system. Their outcomes were compared. Results Among 51 cases, pelvic organ prolapse quantification system showed 22 cases (43.14%) with Green Ⅱ type and 29 cases (56.86%) with Green Ⅲ type. While transperineal ultrasound showed 21 cases (41.18%) with Green Ⅱ type and 30 cases (58.82%) with Green Ⅲ type. Their difference had no statistical significance (P>0.05), and consistency analysis showed good consistency with Kappa=0.58. Conclusion Implement of transperineal ultrasound can provide effective observation on postpartum anterior pelvic organ prolapse. This method is convenient and noninvasive, and it is worth clinical promotion and application.%目的：研究经会阴超声评估女性产后前盆腔脏器脱垂的临床价值。方法51例前盆腔脏器脱垂产妇,分别采用经会阴超声、盆腔器官脱垂量化系统对其进行评估,对比结果。结果51例患者经盆腔器官脱垂量化系统评估检出 Green Ⅱ型22例(43.14%), Green Ⅲ型29例(56.86%)；经会阴超声诊断检出 Green Ⅱ型21例 (41.18%), Green Ⅲ型30例(58.82%)；比较差异无统计学意义(P>0.05)。经一致性分析, Kappa=0.58,一致性较好。结论采用经会阴超声可对产妇产后的前盆腔脏器脱垂情况进行有效观察,操作简便、无创,值得临床推广应用。