Transperineal ultrasonography in evaluation of pelvic floor structure changes in post-hysterectomy patients
10.13929/j.1003-3289.201706080
- VernacularTitle:经会阴超声评价子宫全切术后盆底前腔室结构的变化
- Author:
Lixian WANG
1
;
Heyi LIU
;
Xiaoxuan WEI
;
Jia WEI
;
Cuiju WANG
Author Information
1. 河北医科大学第四医院妇产超声科
- Keywords:
Ultrasonography;
Hysterectomy;
Pelvic floor
- From:
Chinese Journal of Medical Imaging Technology
2018;34(3):416-418
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the changes in anterior chamber structure of pelvic floor before and after total hysterectomy with transperineal ultrasonography.Methods Forty-five patients who would receive total hysterectomy were enrolled.The structures of the anterior pelvic floor were observed with transperineal ultrasonography 1 day pre-operation and 1,3 and 6 months after operation.The parameters at rest and max Valsalva were recorded and calculated,including the bladder neck-symphyseal distance (BSD),bladder neck descent (BND),urethral rotation angle (UR) and posterior urethrovesical angle (PUA).The changes of the parameters at different time were analyzed statistically.Results BSD at max Valsalva,BND,UR and PUA at max Valsalva at different time were significantly different (all P＜0.05).Compared with those preoperative,BSD at max Valsalva decreased (H=2.627,P=0.009) and BND increased (q=-3.095,P=0.002) 3 months after operation,BSD at max Valsalva decreased (H=4.379,P＜0.001),BND (q=-4.379,P＜ 0.001),UR (H=-2.861,P=0.004) and PUA at max Valsalva (q=-2.686,P=0.007) increased 6 months after operation.The remaining parameters were not significantly different between every two time points (all P ＞ 0.05).Conclusion The changes of BSD,BND at max Valsalva,UR and PUA at max Valsalva occur at the initial period after the total hysterectomy.The total hysterectomy can damage the pelvic floor and early pelvic floor rehabilitation need to he provided.
