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【目的】探究经会阴超声在女性产后前盆腔脏器脱垂(anterior pelvic organ prolapse,aPOP)中的评估价值。【方法】收集经临床盆腔器官脱垂量化分期(POP-Q)评估诊断为 aPOP 初产妇患者68例,所有入选患者均接受经会阴三维超声检查,参考线为耻骨联合下缘的水平线,在最大 Valsalva 动作时对尿道和膀胱后壁运动情况观察,对膀胱尿道后角以及尿道倾斜角进行测量,并对经会阴超声与临床 POP-Q 评估结果进行一致性检验。【结果】68例患者中 POP-Q 评估诊断膀胱尿道膨出 Green Ⅱ型28例,Green Ⅲ型40例。经会阴三维超声诊断 Green Ⅱ型29例,膀胱尿道后角为164.27°±9.56°,尿道旋转角为76.32°±12.26°；GreenⅢ型39例,膀胱尿道后角为95.76°±9.74°,尿道旋转角为26.86°±12.45°,POP-Q 评估诊断与会阴三维超声检查的一致性较好(Kappa=0.55,P <0.001)。【结论】经会阴三维超声能够定量评估 POP 的脱垂程度,且与临床 POP-Q 评价一致性较好,可以为临床量化诊断 POP 的影像学检查方法。“,”[Objective]To explore the clinical evaluation of transperineal ultrasound for female postpartum anterior pelvic organ prolapse(aPOP).[Methods]Sixty-eight primiparas with aPOP ,diagnosed by Clinical pel-vic organ prolapse quantitative stage (POP-Q),were admitted to our hospital from 2013 October to 2014 De-cember.All patients were underwent transperineal three-dimensional ultrasound.The horizontal line of the lower edge of the symphysis pubis served as reference line,at the largest Valsalva action,the urethra and blad-der of wall motion after were observed,the posterior urethra vesical and urethral inclination angle were meas-ured and the transperineal ultrasound results and clinical POP-Q assessment results were made consistency test.[Results]Cystourethrocele Green Ⅱ was diagnosed in 28 patients,and Green Ⅲ in 40 cases with POP-Q, while Green Ⅱ diagnosed in 29 patients,and Green Ⅲ in 39 cases with transperineal ultrasound.Ultrasonic findings showed good agreement with clinical POP-Q Examination (Kappa = 0.55,P <0.001).[Conclusion]Transperineal ultrasonography can be used to evaluate aPOP and it has high correlation to POP-Q examination. Transperineal ultrasonography is a more objective method than POP-Q in clinical practice.