国际妇产科学杂志 ›› 2019, Vol. 46 ›› Issue (3): 351-354.

• 综述 • 上一篇    下一篇

超声评价肛提肌及其裂孔在女性盆腔器官脱垂中的进展

王晶晶,张枢书,黄晓玲   

  1. 400016 重庆医科大学附属第一医院超声科(王晶晶,黄晓玲);陆军军医大学第二附属医院放射科(张枢书)
  • 收稿日期:2018-11-23 修回日期:2019-02-25 出版日期:2019-06-15 发布日期:2019-06-25
  • 通讯作者: 黄晓玲,E-mail:huangxiaoling_4@163.com E-mail:huangxiaoling_44@163.com

Progress in Ultrasound Evaluation of Levator Ani Muscle and its Hiatus in Female Pelvic Organ Prolapse

WANG Jing-jing,ZHANG Shu-shu,HUANG Xiao-ling   

  1. Department of Ultrasound,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China(WANG Jing-jing,HUANG Xiao-ling);Department of Radiology,The Second Affiliated Hospital of Army Military Medical University,Chongqing 400037,China(ZHANG Shu-shu)
  • Received:2018-11-23 Revised:2019-02-25 Published:2019-06-15 Online:2019-06-25
  • Contact: HUANG Xiao-ling,E-mail:huangxiaoling_4@163.com E-mail:huangxiaoling_44@163.com

摘要: 肛提肌及其裂孔是女性盆腔器官支持结构的重要部分,对女性盆腔器官起支撑作用。女性盆腔器官脱垂(pelvic organ prolapse,POP)是一种临床常见的盆底功能障碍性疾病,严重影响女性的心理和生理健康。POP病因复杂,与肛提肌损伤及肛提肌裂孔面积增大密切相关。因超声具有价廉、可重复性高、无辐射、患者易接受等优点,所以目前在女性盆腔器官检查中,经会阴超声技术得到越来越广泛的应用,应用经会阴超声技术评价肛提肌及其裂孔等盆腔结构的水平也逐渐提高。现主要从肛提肌及其裂孔的解剖结构、与POP的关系及经会阴超声技术在女性肛提肌及其裂孔检查中的应用进展进行综述。

关键词: 超声检查, 肛管, 创伤和损伤, Valsalva动作, 骨盆, 脱垂

Abstract: The levator ani muscle and levator hiatus are important parts of the female pelvic organ support structure, supporting the female pelvic organs. Female pelvic organ prolapse (POP) is a common clinical pelvic organ dysfunction, which seriously affects women′s psychological and physical health. The etiology of POP is complicated, especially related to the levator ani muscle injury and the increase of the levator ani muscle area. Because ultrasound has the advantages of low cost, high reproducibility, no radiation, and good tolerance, it is currently used more and more widely in the application of female pelvic organ examination. And the application of transperineal ultrasound technique to evaluate the level of pelvic structures such as levator ani muscles and levator hiatus has gradually improved. This article mainly reviews the relationship between the anatomical structure of the levator ani muscle and levator hiatus, the occurrence of POP, and the application of transperineal ultrasound technique in the examination of female levator ani muscle and levator hiatus.

Key words: Ultrasonography, Anal canal, Wounds and injuries, Valsalva maneuver, Pelvis, Prolapse