摘要
目的探讨经会阴二维超声评估女性耻骨后间隙在不同分娩方式后在盆底功能性障碍性疾病中的应用价值。方法选取产后6周常规复查的初产妇共60例为病例组;同时选取30例健康体检的未育女性作为对照组。测量耻骨后间隙的距离;测量膀胱颈和宫颈外口至耻骨联合下缘水平线的垂直距离,得出二者移动距离。张力期时嘱咐患者用最大力度做3次Valsalva动作,取最大位移值记录。结果本研究中选择性剖宫产组和阴道分娩组产后6周SUI发生率分别是10%、36.67%,盆腔器官脱垂发生率分别是33.33%、73.33%,两组比较差异有统计学意义(P<0.05)。阴道分娩组及选择性剖宫产组耻骨后间隙距离均大于对照组(P<0.05);阴道分娩组产妇膀胱颈移动度和宫颈下移度明显大于选择性剖宫产组及对照组(P<0.05);耻骨后间隙距离与膀胱颈移动度及宫颈下移度均呈正相关。结论经会阴二维超声观察女性耻骨后间隙距离在不同分娩方式后在盆底功能性障碍性疾病中具有一定的诊断和评估价值,较为客观和可靠,且重复性强,在女性产后盆底功能障碍性疾病的诊断中有较好的应用价值。
Objective To evaluate the value of transperineal two-dimensional ultrasound in the evaluation of female posterior pubic space in pelvic floor dysfunction after different modes of delivery.Methods A total of 60 primiparas who routinely reviewed at 6 weeks postpartum were selected as the case group.Thirty healthy women with healthy examination were selected as the control group.The distance of posterior pubic space after different modes of delivery were observed,and the value of perineal two-dimensional ultrasound in the diagnosis and evaluation of pelvic floor dysfunction were evaluated.Results The selective cesarean section and vaginal delivery group were 6 weeks after delivery.The incidence of SUI was 10%and 36.67%,respectively.The incidence of pelvic organ prolapse was 33.33%and 73.33%,respectively.The difference between the two groups was statistically significant(P<0.05).The distance between the vaginal delivery group and the selective cesarean section was greater than that of the control group(P<0.05).The bladder neck mobility and cervical dislocation in the vaginal delivery group were significantly greater than those in the selective cesarean section and the control group(P<0.05).Neck mobility and cervical sag were positively correlated.Conclusion The perineal two-dimensional ultrasound has a good application value in the diagnosis of postpartum pelvic floor dysfunction in women,and it is more objective,reliable and reproducible.
作者
张星荣
朱霖云
王荣
王兴田
ZHANG Xingrong;Zhu LinYun;Wang Rong;Wang Xingtian(Lianyungang affiliated Hospital of Nanjing University of traditional Chinese Medicine,Lianyungang,Jiangsu Province 222004,China;Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu Province 221000,China)
出处
《大医生》
2019年第15期174-176,共3页
Doctor
