Evaluation of acupuncture treatments of postpartum female pelvic floor dysfunction by four-dimensional transperineal pelvic floor ultrasound

Abstract

Introduction: In the present investigation, a systematic evaluation of the clinical treatment performance of diagnosed with pelvic floor dysfunction is explored. By comparing the 4Dtransperineal pelvic floor ultrasound images with the acupuncture treatment performance of the patients, an evaluation system with various parameters is established to provide critical information to guide the clinical treatment fpostpartum female pelvic floor dysfunction (FPFD). Methods: Eighty patients diagnosed with FPFD are divided into 2 groups. After the designated treatment to the patients, they are carefully examined using transperineal pelvic floor ultrasound. The shape and activity of bladder neck, cervix and rectum anal canal under resting, anal sphincter and Valsalva movements are observed and recorded. The morphology and continuous shape of levator ani muscle in different states after 4D image reconstruction are obtained. Results: After the acupuncture treatment, the bladder neck descent is decreased by 3.8 cm and the anal levator muscle area is decreased by 3.4 cm 2 comparing with the control group. The anal levator muscle hole diameter is decreased by 0.3 cm, while the anterior and posterior diameter is reduced by 0.5 cm. Reduced possibility of cystocele and uterine prolapse is demonstrated by X 2 test. These changes upon acupuncture therapy are in line with the improved conditions of the patients, indicating these parameters can help evaluate the therapy performance. Conclusion: 4D pelvic floor ultrasound imaging provides objective and quantified information for the clinical diagnosis and treatment of FPFD and the assessment of therapy efficacy, making it a promising novel method in practical applications.

Application of transperineal ultrasound combined with shear wave elastography in pelvic floor function assessment after hysterectomy

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Evaluation of Pelvic Floor Dysfunction by Pelvic Floor Ultrasonography after Total Hysterectomy for Cervical Cancer

“…In recent years, with the development of 3D multisection and 4D dynamic image acquisition techniques and their powerful data postprocessing capacity, pelvic floor ultrasound has begun to be applied in clinical practice. The 4D view off-machine analysis can be exploited to reconstruct 3D plane image, measured in the corresponding physiological action state with easy operation, reliable inspection data, and low cost [ 5 ]. However, there are few studies on the effect of 4D pelvic floor ultrasound in the diagnosis of pelvic floor function after cervical cancer surgery.…”

Effect of 3D Animation Combined with Teach-Back Health Education on Pelvic Floor Muscle Training in LARS Patients: A Randomized Controlled Trial

“…Fork leg anal levator exercises can further strengthen the intensity of anal levator exercises with the help of hip muscles and thigh strength, inducing efective training of the levator ANI muscle, improving the patient's ability to control stool, and reducing the frequency of defecation [16]. Trough perineal fourdimensional pelvic foor ultrasound examination, Yao found that pelvic foor muscle exercise could strengthen the thickness of the levator ani muscle itself and reduce its hiatus, thereby providing strong objective evidence for pelvic foor muscle training to improve the ability of defecation control [26]. In the LARSS items, tenesmus and defecation urgency items in the experiment group II were better than those in the control group and the experiment group I on the 14th day, 1 month, and 3 months after the surgery, and with the increase of time, there were more and more diferences between items, indicating that the intervention of the experiment group II was efective.…”