Ultrasonographic evaluation of pelvic floor function in elderly patients after total hysterectomy
10.3760/cma.j.issn.0254-9026.2018.02.017
- VernacularTitle:老年宫颈癌子宫全切除术后患者盆底功能的超声评估
- Author:
Yidan LU
1
Author Information
1. 318000,浙江省台州市中医院超声科
- Keywords:
Uterine cervical neoplasms;
Pelvic floor function;
Hysterectomy
- From:
Chinese Journal of Geriatrics
2018;37(2):188-191
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of perineal pelvic ultrasonography in assessing the pelvic floor function of the elderly patients after total hysterectomy.Methods The clinical data of 56 cases of cervical cancer treated by hysterectomy in Zhejiang Taizhou Hospital from June 2014 to June 2017 were retrospectively analyzed.The results of perineal pelvic ultrasonography and various kinds of ultrasound examinations before and after surgery were analyzed.Results Among the 56 patients,31 cases(55.4％) were diagnosed as pelvic floor dysfunction after hysterectomy.Post-operation group versus pre-operation group showed that posterior urethrovesical angle in resting state was[(123.5 ± 9.3) ° vs.(90.4 ± 8.6)°,P ＜ 0.05],posterior urethrovesical angle in the Valsalva movement was [(135.7±13.5)° vs.(109.1±10.5)°,P＜0.05],urethral rotation angle was[(60.8±17.0)° vs.(27.0 ± 12.1) °,P ＜ 0.05],bladder neck descent was [(18.9 ± 8.4) mm vs.(12.5 ± 8.2) mm,P ＜ 0.05],bladder neck-symphyseal distance was[(2.7±0.5)cm vs.(2.2±0.2)cm,P＜0.05],with statistically significant differences in above parameters.Moreover,the statistically significant differences between post-operation group versus pre-operation group were found in detrusor wall thickness[(4.4±0.8)mm vs.(3.8±0.6)mm,P＜0.05],in the degree of bladder neck movement[(0.6±0.1)cm vs.(0.4±0.2) cm,P＜0.05],in the residual urinary volume[(13.1 ± 3.0) ml vs.(4.4 ± 1.3) ml,P＜0.05] and in bladder rotation angle[(12.0 ± 2.7)°vs.(4.3 ± 1.5)°,P＜0.05].Conclusions The incidence of pelvic floor dysfunction is higher after hysterectomy in patients with cervical cancer,and pelvic floor function can be accurately evaluated by perineal pelvic ultrasonography,which is worthy of clinical reference.
