盆底超声在子宫脱垂合并膀胱膨出及尿潴留诊疗中的应用价值

Objective To explore the application value of pelvic floor ultrasound in the diagnosis and treatment of uterine prolapse complicated with cystocele and urinary retention. Methods Patients treated in our hospital from January 2023 to January 2025 were enrolled according to the inclusion and exclusion criteria. After diagnosis with the pelvic organ prolapse quantification(POP-Q) staging system as the gold standard, all subjects underwent pelvic floor ultrasound examination. The detection rate and result consistency were analyzed, and the urinary retention indexes were compared with those of the normal group. P<0.05 was considered statistically significant for evaluating the application value of pelvic floor ultrasound. Results There was no significant difference in the general data between the two groups, indicating good comparability. Compared with the POP-Q examination, the detection rate of pelvic floor ultrasound was 94.00%, with a Kappa consistency coefficient of 0.91, showing excellent consistency. Pelvic floor ultrasound slightly overstimates the volume of urinary retention. Meanwhile, the detrusor muscle thickness, retropubic vesicourethral angle(RVA) under Valsalva maneuver and the rate of funneling of the internal urethral orifice in the case group were significantly higher than those in the control group, with all differences statistically significant(P<0.05). Conclusion Pelvic floor ultrasound can not only rapidly diagnose uterine prolapse, but also intuitively evaluate the degree of prolapse and pelvic floor function, which greatly improves the diagnostic efficiency of the disease.