| Objective:The preoperative and postoperative pelvic floor indexes of patients undergoing anterior vaginal wall path sacrospinous ligament suspension by pelvic ultrasound examination,to explore the positional changes of various pelvic floor anatomical structures before and after the operation and the effectiveness of the operation,At the same time,it discusses the evaluation of the efficacy of pelvic floor ultrasound for the surgery and provides the clinical evaluation of the efficacy of the operation.Methods:The clinical data of 27 patients with stageⅡ-Ⅳpelvic prolapse who underwent transvaginal anterior wall route sacrospinous ligament sling from October2019 to December 2020 in The First Affiliated Hospital Of Wannan Medical College were collected.The average age of the patients was(62.86±8.71)years old,the average height was(157.56±5.19)cm;the average weight was(59.53±8.54)kg,the average BMI was(23.92±2.62)kg/m~2,and the average number of births was(2.44±1.05)times,average The prolapse time is(3.76±4.58)years.Through pelvic floor ultrasound examination,the values of the pelvic floor before and one month after the operation were obtained,and the distance between the lowest point of the bladder neck and the reference line(a horizontal line drawn through the inferior posterior margin of the symphysis pubis)in the resting state and the valsalva state before and after the operation,and the difference between the rectal ampulla and the reference line were compared.Observe the curative effect and effectiveness of the procedure by the distance between the bladder,the changes in the anatomical position of the posterior angle of the bladder,the anal right angle,and the changes in the movement of the bladder neck and the urethral rotation angle before and after the operation.Results:In the resting state,the distance between the lowest point of the bladder neck and the reference line of the patient under ultrasound examination was(21.33±3.87)mm before the operation and(21.44±2.15)mm after the operation;the distance between the rectal ampulla and the reference line(18.89±5.73)mm,postoperatively(18.78±2.49)mm,posterior bladder angle before surgery(126.22±25.15)°,postoperatively(123.44±10.42)°,and anal right angle before surgery(102.22±6.30)°,it was(99.56±6.08)°after operation,and the comparison of various parameters before and after operation was not statistically significant(P﹥0.05).In the Valsalva state,the distance between the lowest point of the bladder neck and the reference line of the patient under ultrasound examination is(-20.89±15.25)mm before the operation and(10.89±4.46)mm after the operation,and the distance between the rectal ampulla and the reference line Before operation,it was(-5.22±9.94)mm,after operation it was(6.44±12.16)mm,the posterior angle of bladder before operation was(157.67±30.21)°,and after operation it was(142.67±12.88)°.Comparison of various parameters before and after operation There is statistical significance(P<0.05).The bladder neck mobility was(42.22±14.19)mm before operation,(9.67±4.96)mm after operation,urethral rotation angle was(59.56±15.20)°before operation,and(24.78±14.15)°after operation.Comparison before and after operation There is statistical significance(P<0.05).Conclusion:The anterior vaginal wall path sacrospinous ligament suspension can effectively improve the anatomical position of the patient’s pelvic floor and improve the support strength of the pelvic floor.Pelvic ultrasound examination can assess the changes in the anatomical position of the transvaginal anterior wall of the sacrospinous ligament suspension before and after the operation,and can provide preoperative guidance and observe the postoperative efficacy.It is an economical and effective imaging examination method. |
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