摘要
本研究探讨三维超声诊断女性孕期及产后盆底功能障碍性疾病及盆底结构变化的价值。选取134例全程产检孕妇为研究对象,均行三维盆底超声检查,分析不同孕期盆底三维超声参数差异,同时比较发生和未发生盆底功能障碍性疾病产妇盆底三维超声参数差异。产后42 d时静息、收缩及Valsalva动作下裂孔前后径、裂孔左右径、裂孔面积,以及膀胱后角、尿道旋转角和膀胱颈移动度明显高于孕早期、孕晚期(P<0.05)。发生和未发生盆底功能障碍性疾病产妇年龄、便秘史、产前尿失禁、疾病家族史比例比较,差异有统计学意义(P<0.05)。随着孕期的推进,产妇肛提肌裂孔前后径等参数不断增大,尤其发生盆底功能障碍性疾病的产妇相关参数增大明显,三维超声诊断盆底功能障碍性疾病的价值较高。
This study investigated the value of three-dimensional ultrasonography in the diagnosis of female pelvic floor dysfunction(PFD) during pregnancy and postpartum and the changes in pelvic floor structure. 134 pregnant women who underwent the whole process of prenatal examination were selected as the research objects, and all underwent three-dimensional pelvic floor ultrasound examination. The parameters differences of three-dimensional pelvic floor ultrasound in different pregnancy periods were analyzed, and at the same time the differences of three-dimensional pelvic floor ultrasound parameters between pregnant women with and without pelvic floor dysfunction diseases were compared. Under rest, contraction and Valsalva maneuver after 42 days postpartum, the anterior and posterior diameter, left and right diameter, area, posterior bladder angle, urethral rotation angle and bladder neck movement were significantly higher than those in the early and late pregnancy(P<0.05). There were significant differences in maternal age, history of constipation, prenatal urinary incontinence and family history of pelvic floor dysfunction between women with and without pelvic floor dysfunction(P<0.05). With the advancement of pregnancy, the parameters such as the diameter of maternal anal lift muscle and other crack are constantly increasing, especially the occurrence of pelvic floor dysfunction diseases, and the value of three-dimensional ultrasound diagnosis of PFD is high.
作者
陈禹
张春叶
王玮婧
耿旭娜
孙聪欣
赵伟
王品
CHEN Yu;ZHANG Chunye;WANG Weijing;GENG Xuna;SUN Congxin;ZHAO Wei;WANG Pin(The Department of Ultrasound,The Fourth Hospital of Shijiazhuang,Shijiazhuang 050000,Hebei,P.R.China)
出处
《影像科学与光化学》
CAS
北大核心
2022年第5期1148-1152,共5页
Imaging Science and Photochemistry
关键词
盆底结构
三维超声
盆底功能障碍性疾病
pelvic floor structure
three dimensional ultrasonography
pelvic floor dysfunction
