摘要
目的分析产后早期肛提肌裂孔扩张的影响因素。方法盆底超声测量产后早期女性肛提肌裂孔面积,其中研究组为105名肛提肌裂孔扩张者,对照组为145名肛提肌裂孔正常者,对肛提肌裂孔扩张的相关因素进行二元Logistic回归分析。结果研究组中盆底疾病的发生率高于对照组(P<0.05),Logistic回归分析显示第二产程时间、胎儿体重、催产素使用和盆腔器官脱垂与肛提肌裂孔扩张显著相关(P<0.05)。结论第二产程时间延长、催产素增加和胎儿体重增加是肛提肌裂孔扩张的影响因素,对预测和精确诊断盆底疾病有临床意义。
Objective To analyze the influencing factors of the dilation of levator ani hiatus in early postpartum period.Methods Pelvic floor ultrasound was used to measure the area of levator ani hiatus at Valsalva state in early postpartum,including 105 patients with levator ani hiatus dilation in the study group and 145 patients with normal levator ani hiatus in the control group.Logistic regression analysis was performed on obstetric factors related to levator ani hiatus dilation.Results The incidence of pelvic floor disease in the study group was higher than that in the control group(P<0.05).Multivariate analysis showed that the time of the second stage of labor,fetal weight,oxytocin augmentation and pelvic organ prolapse were significantly correlated with levator ani dilation(P<0.05).Conclusion The prolonged time of the second stage of labor,oxytocin augmentation and fetal weight gain are the influencing factors of dilation of the levator ani hiatus,which has clinical guiding significance for early detection of pelvic floor diseases.
作者
李茗薇
陈星
马宁
周萍
LI Mingwei;CHEN Xing;MA Ning;ZHOU Ping(School of Medicine,Anhui University of Science and Technology,Huainan Anhui 232001,China;Department of Ultrasound, the First Affiliated Hospital of Anhui University of Science and Technology,Huainan Anhui 232001,China;Department of Obstetrics and Gynecology,the First Affiliated Hospital of Anhui University of Science and Technology, Huainan Anhui 232001,China)
出处
《安徽理工大学学报（自然科学版）》
CAS
2021年第6期74-80,共7页
Journal of Anhui University of Science and Technology:Natural Science
基金
淮南市科技局计划资助项目(20203068)。
关键词
肛提肌裂孔
盆腔器官脱垂
盆底超声
第二产程
会阴侧切
levator ani hiatus
pelvic organ prolapse
pelvic floor ultrasound
the second labor
episiotomy
