| 摘要: |
| 目的 分析全栈式自动盆底超声(FSPFU)技术替代人工测量产后女性盆底最小肛提肌裂孔(LH)平面的可行性分析。方法 选取2020年6月～2022年6月在海南省万宁市人民医院行盆底超声检查的210例产后半年内的女性为研究对象,其中膀胱膨出程度0～Ⅰ度、Ⅱ 度、Ⅲ 度分别52例、98例、60例。所有患者均行经会阴盆底超声检查,由2名低年资医生(A组)、2名高年资医生(B组)手动调节三维容积数据图获取并测量最小LH平面,另由1 名低年资医生用FSPFU 软件(C组)获取并测量最小LH平面。比较A、B、C组测量最小LH所需时间与测量结果,并计算最小LH轮廓重合率。结果 C组测量不同程度膀胱膨出者最小 LH所用时间均短于A组、B组人工测量,且B组测量最小 LH所用时间短于A组(P＜0.05)；三种方法测量不同程度膀胱膨出者Valsalva状态最小 LH面积比较均无差异统计学意义(P＞0.05)。一致性分析显示,三种方法之间测量最小 LH面积的ICC 值均＞0.85(P＜0.001)；相关性分析显示,三种方法之间测量最小 LH面积的r值均＞0.70(P＜0.05)；不同程度膀胱膨出者经三种方法描绘的最小 LH轮廓组间重合率均＞0.920。其中C组描绘膀胱膨出程度Ⅱ度者最小 LH轮廓组间重合率高于A组和B组(P＜0.05)。结论 与人工测量相较,FSPFU技术测量最小LH 平面的效率更高,可缩短盆底超声检查所用时间,可替代人工测量应用于膀胱膨出患者的最小LH 平面测量,值得临床推广。 |
| 关键词: 全栈式自动盆底超声 人工测量 三维容积数据图 盆底超声 肛提肌裂孔 |
| DOI： |
| 投稿时间：2022-12-20修订日期：2022-12-20 |
| 基金项目: |
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| Feasibility analysis of FSPFU technique instead of manual measurement for the minimum levator hiatus plane in postpartum women |
| liqiufeng,zhanghanbiao,lihuili |
| () |
| Abstract: |
| Objective To analyze the feasibility analysis of full-stack pelvic floor ultrasound (FSPFU) technique instead of manual measurement for the minimum levator hiatus (LH) plane in postpartum women. Methods A total of 210 women undergoing pelvic floor ultrasound examination in Wanning People"s Hospital were enrolled as the research objects between June 2020 and June 2022, including 52 cases, 98 cases and 60 cases with vesicocele at degrees 0-I, II and III, respectively. All underwent transperineal pelvic floor ultrasonography. The three-dimensional volume data graphs were manually adjusted by two junior doctors (group A) and two senior doctors (group B) to obtain and measure the minimum LH plane. And the minimum LH plane was obtained and measured by one junior doctor (group C) with FSPFU software. The measurement time and results of the minimum LH in groups A, B and C were compared, and the coincidence rate of the minimum LH profile was calculated. Results The measurement time of the minimum LH was the shortest in group C, followed by group B and group A (P<0.05). There was no significant difference in the minimum LH area under Valsalva state by the three methods (P>0.05). Consistency analysis showed that ICC values of the minimum LH area measured by three methods were all > 0.85 (P<0.001). Correlation analysis showed that the r values of minimum LH area measured by three methods were all > 0.70 (P<0.05). For different degrees of cystocele, the coincidence rates of the minimum LH profile by the three methods were all >0.920. The coincidence rate of the minimum LH profile in group C was higher than that in groups A and B (P<0.05). Conclusion Compared with manual measurement, FSPFU has higher efficiency in measuring the minimum LH plane, which can shorten spending time of pelvic floor ultrasonography and can be instead of manual measurement for the minimum LH plane. |
| Key words: Full-stack pelvic floor ultrasound Manual measurement 3D volume data graph Pelvic floor ultrasound Levator hiatus |
