盆底超声评估女性肛提肌形态及功能的研究进展

李多; 鲁蓉

doi:10.11817/j.issn.1672-7347.2023.220577

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综述 | 更新时间：2023-10-24

盆底超声评估女性肛提肌形态及功能的研究进展
Research progress in pelvic floor ultrasound for assessing the morphology and function of levator ani muscle in women
中南大学学报(医学版) 中南大学学报(医学版) 2023年48卷第8期页码：1267-1273
作者机构：

1.中南大学湘雅医院超声影像科，长沙 410008
2.中南大学湘雅医院妇科，长沙 410008
作者简介：

李多，Email: liduo991124@163.com, ORCID: 0000-0003-2809-8735
鲁蓉，Email: 1752020522@qq.com, ORCID: 0000-0002-6454-386X
基金信息：

湖南省自然科学基金(2023JJ30920)
DOI：10.11817/j.issn.1672-7347.2023.220577
中图分类号：
CSTR：
纸质出版日期： 2023-08-28 ，

收稿日期： 2022-11-11 ，

李多, 鲁蓉. 盆底超声评估女性肛提肌形态及功能的研究进展[J]. 中南大学学报(医学版), 2023, 48(8): 1267-1273.

LI Duo, LU Rong. Research progress in pelvic floor ultrasound for assessing the morphology and function of levator ani muscle in women[J]. Journal of Central South University. Medical Science, 2023, 48(8): 1267-1273.
李多, 鲁蓉. 盆底超声评估女性肛提肌形态及功能的研究进展[J]. 中南大学学报(医学版), 2023, 48(8): 1267-1273. DOI：10.11817/j.issn.1672-7347.2023.220577

LI Duo, LU Rong. Research progress in pelvic floor ultrasound for assessing the morphology and function of levator ani muscle in women[J]. Journal of Central South University. Medical Science, 2023, 48(8): 1267-1273. DOI：10.11817/j.issn.1672-7347.2023.220577

摘要

盆底超声能清晰显示盆底器官的位置及形态，实时观察盆腔器官脱垂的情况，并量化分析肛提肌损伤的程度，是目前评估肛提肌形态及功能最常用的影像学检查方法。不同的超声成像技术可提供不同的测量指标，各具优势与局限性。其中，二维超声成像为基础，但无法探测盆底横断面图像；三维超声成像能采集肛提肌裂孔的轴平面；断层超声成像能实时观察肛提肌损伤情况；剪切波弹性成像能实时定量地评估肛提肌的收缩功能及弹性特征。总结各种超声成像技术的基本原理，归纳不同人群、不同状态下肛提肌及其裂孔的超声图像特征，探讨相关超声参数的截断值及诊断标准，对于提高盆底超声对肛提肌损伤的诊断效能、减少病变部位的漏诊与误诊具有重要的指导意义。

Abstract

Pelvic floor ultrasound can clearly visualize the position and morphology of pelvic floor organs

observe the pelvic organ prolapse in real-time

and quantify and analyze the degree of the levator ani muscle injury

which is the most common imaging method to assess the morphology and function of the levator ani muscle to date. The different ultrasound imaging techniques provide a variety of indicators

each with its own advantages and limitations.Furthermore

two-dimensional ultrasound is the basis of imaging

but it fails to detect cross-sectional images of the pelvic floor; three-dimensional ultrasound can acquire the axial plane of the levator hiatus; tomographic ultrasound imaging allows real-time observation of the levator ani muscle injury; shear wave elastography can provide a quantitative assessment of the contractility and elastic characteristics of the levator ani muscle in real-time. It is of great significance to summarize the basic principles of various ultrasound imaging techniques

summarize the ultrasound image characteristics of levator ani muscle and its hiatus in different populations and different states

and explore the cut-off values and diagnostic criteria-related ultrasound parameters for improving the diagnostic efficiency of pelvic floor ultrasound for levator ani muscle injury

leading to reducing missed diagnosis and misdiagnosis of lesions.

关键词

盆底超声肛提肌

Keywords

pelvic floorultrasoundlevator ani muscle

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