Evaluation of four-dimensional ultrasound for diagnosis of female pelvic floor dysfunction and prognosis

Objective: To evaluate the value and prognosis of four-dimensional pelvic floor ultrasonography in female pelvic floor dysfunction (PFD). Materials and Methods: Ninety postpartum women diagnosed with PFD in this hospital from December, 2016 to February, 2018 were selected for inclusion in this study...

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Main Authors: Shuhao Deng, Yicheng Zhu, Quan Jiang, Yuan Zhang
Format: Article
Language:English
Published: IMR Press 2020-12-01
Series:Clinical and Experimental Obstetrics & Gynecology
Subjects:
Online Access:https://www.imrpress.com/journal/CEOG/47/6/10.31083/j.ceog.2020.06.5350
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author Shuhao Deng
Yicheng Zhu
Quan Jiang
Yuan Zhang
author_facet Shuhao Deng
Yicheng Zhu
Quan Jiang
Yuan Zhang
author_sort Shuhao Deng
collection DOAJ
description Objective: To evaluate the value and prognosis of four-dimensional pelvic floor ultrasonography in female pelvic floor dysfunction (PFD). Materials and Methods: Ninety postpartum women diagnosed with PFD in this hospital from December, 2016 to February, 2018 were selected for inclusion in this study. These women were divided into vaginal delivery and selective cesarean section groups. In addition, 45 women without PFD were selected as the control group. Four-dimensional pelvic floor ultrasound was used to diagnose the difference between the pelvic floor and pelvic diaphragm before and after resting state, tension, and anal contraction. Results: BSD, bladder neck movement length, and urethral posterior horn in the vaginal delivery group were significantly higher than those measured in the cesarean section (p < 0.05). The transverse diameter, anterior and posterior diameter of the diaphragm, and the thickness of the anal muscle were significantly higher in the vaginal delivery group than measurements made in the control group. Within the selective cesarean section group, the transverse diameter, anterior and posterior diameter of the diaphragm, and the thickness of the anal muscle were significantly higher (p < 0.05) in patients conducting a Valsalva maneuver than in the control group. Conclusion: The use of pelvic floor ultrasonography for patients with pelvic functional disorders has a high diagnostic coincidence rate. It can clearly display the pelvic cavity of the parturient and provide critical insight into the patient’s condition, thus providing a reliable basis for patient treatment.
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series Clinical and Experimental Obstetrics & Gynecology
spelling doaj-art-d5375b33337c48df9882049a233c84c82025-08-20T02:03:59ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632020-12-0147695095410.31083/j.ceog.2020.06.5350S0390-6663(20)00378-4Evaluation of four-dimensional ultrasound for diagnosis of female pelvic floor dysfunction and prognosisShuhao Deng0Yicheng Zhu1Quan Jiang2Yuan Zhang3Department of Ultrasound, Pudong New Area People’s Hospital, Shanghai, P.R. ChinaDepartment of Ultrasound, Pudong New Area People’s Hospital, Shanghai, P.R. ChinaDepartment of Ultrasound, Pudong New Area People’s Hospital, Shanghai, P.R. ChinaDepartment of Ultrasound, Pudong New Area People’s Hospital, Shanghai, P.R. ChinaObjective: To evaluate the value and prognosis of four-dimensional pelvic floor ultrasonography in female pelvic floor dysfunction (PFD). Materials and Methods: Ninety postpartum women diagnosed with PFD in this hospital from December, 2016 to February, 2018 were selected for inclusion in this study. These women were divided into vaginal delivery and selective cesarean section groups. In addition, 45 women without PFD were selected as the control group. Four-dimensional pelvic floor ultrasound was used to diagnose the difference between the pelvic floor and pelvic diaphragm before and after resting state, tension, and anal contraction. Results: BSD, bladder neck movement length, and urethral posterior horn in the vaginal delivery group were significantly higher than those measured in the cesarean section (p < 0.05). The transverse diameter, anterior and posterior diameter of the diaphragm, and the thickness of the anal muscle were significantly higher in the vaginal delivery group than measurements made in the control group. Within the selective cesarean section group, the transverse diameter, anterior and posterior diameter of the diaphragm, and the thickness of the anal muscle were significantly higher (p < 0.05) in patients conducting a Valsalva maneuver than in the control group. Conclusion: The use of pelvic floor ultrasonography for patients with pelvic functional disorders has a high diagnostic coincidence rate. It can clearly display the pelvic cavity of the parturient and provide critical insight into the patient’s condition, thus providing a reliable basis for patient treatment.https://www.imrpress.com/journal/CEOG/47/6/10.31083/j.ceog.2020.06.5350four-dimensional pelvic floor ultrasoundfemale pelvic floor dysfunctionevaluation valueprognosis
spellingShingle Shuhao Deng
Yicheng Zhu
Quan Jiang
Yuan Zhang
Evaluation of four-dimensional ultrasound for diagnosis of female pelvic floor dysfunction and prognosis
Clinical and Experimental Obstetrics & Gynecology
four-dimensional pelvic floor ultrasound
female pelvic floor dysfunction
evaluation value
prognosis
title Evaluation of four-dimensional ultrasound for diagnosis of female pelvic floor dysfunction and prognosis
title_full Evaluation of four-dimensional ultrasound for diagnosis of female pelvic floor dysfunction and prognosis
title_fullStr Evaluation of four-dimensional ultrasound for diagnosis of female pelvic floor dysfunction and prognosis
title_full_unstemmed Evaluation of four-dimensional ultrasound for diagnosis of female pelvic floor dysfunction and prognosis
title_short Evaluation of four-dimensional ultrasound for diagnosis of female pelvic floor dysfunction and prognosis
title_sort evaluation of four dimensional ultrasound for diagnosis of female pelvic floor dysfunction and prognosis
topic four-dimensional pelvic floor ultrasound
female pelvic floor dysfunction
evaluation value
prognosis
url https://www.imrpress.com/journal/CEOG/47/6/10.31083/j.ceog.2020.06.5350
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AT quanjiang evaluationoffourdimensionalultrasoundfordiagnosisoffemalepelvicfloordysfunctionandprognosis
AT yuanzhang evaluationoffourdimensionalultrasoundfordiagnosisoffemalepelvicfloordysfunctionandprognosis