摘要
目的分析不同分娩方式产妇产后三维联合二维超声表现及产后并发症状况。方法回顾性分析2021年6月至2022年5月在渭南市中心医院产科分娩并进行产后修复的80例产妇的临床资料。按照不同分娩方式分为对照组(剖宫产)和研究组(经阴道自然分娩)各40例。在产妇分娩6周后,采用盆底三维联合二维超声检查比较两组产妇分别在静息状态、最大Valsalva状态、最大缩肛状态下肛提肌裂孔的前后径(LHAP)、肛提肌裂孔的左右径(LHLD)、肛提肌裂孔的面积(LHA)、左侧肛提肌厚度(LAT)、右侧肛提肌厚度(LAT),以及两组产妇盆腔功能指标[尿道旋转角(URA)、膀胱颈移动度(BND)、宫颈外口移动度(CDD)],并比较两组产妇盆腔器官脱垂和压力性尿失禁的发生率。结果静息状态下,研究组产妇的LHAP、LHLD、LHA、左侧肌LAT、右侧肌LAT分别为(4.39±0.42)cm、(5.41±0.49)cm、(15.13±2.15)cm^(2)、(0.69±0.12)cm、(0.64±0.09)cm,明显长(大)于对照组的(3.80±0.31)cm、(4.74±0.36)cm、(13.08±2.45)cm^(2)、(0.54±0.11)cm、(0.56±0.10)cm,差异均有统计学意义(P<0.05);最大Valsalva状态下,研究组产妇的LHAP、LHLD、LHA、左侧肌LAT、右侧肌LAT分别为(4.69±0.36)cm、(5.91±0.44)cm、(18.13±2.22)cm^(2)、(0.59±0.10)cm、(0.58±0.12)cm,明显长(大)于对照组的(4.02±0.41)cm、(5.14±0.56)cm、(16.08±2.18)cm^(2)、(0.51±0.09)cm、(0.49±0.10)cm,差异均有统计学意义(P<0.05);最大缩肛状态下,研究组产妇的LHAP、LHLD、LHA、左侧肌LAT、右侧肌LAT分别为(3.95±0.41)cm、(4.85±0.45)cm、(13.18±1.98)cm^(2)、(0.68±0.08)cm、(0.71±0.12)cm,明显长(大)于对照组的(3.50±0.32)cm、(4.51±0.41)cm、(11.02±1.89)cm^(2)、(0.60±0.07)cm、(0.62±0.10)cm,差异均有统计学意义(P<0.05);研究组产妇的URA、BND、CDD分别为(41.82±9.19)mm、(16.89±3.12)mm、(13.11±2.98)mm,明显高于对照组的(32.01±8.81)mm、(14.20±3.05)mm、(10.68±2.58)mm,差异均有统计学意义(P<0.05)
Objective To analyze the three-dimensional combined with two-dimensional ultrasound findings and postpartum complications of parturients with different delivery modes.Methods The clinical data of 80 parturients who delivered and underwent postpartum repair in Weinan Central Hospital from June 2021 to May 2022 were analyzed retrospectively.According to different delivery methods,they were divided into a control group(cesarean section)and a study group(vaginal natural delivery),each with 40 cases.After 6 weeks of delivery,the pelvic floor three-dimensional combined with two-dimensional ultrasound was used to compare the anteroposterior diameter(LHAP),left and right diameter(LHLD),surface area(LHA),left levator ani muscle thickness(LAT),and right levator ani muscle thickness(LAT)of the two groups of parturients in resting state,maximum Valsalva state,and maximum anal contraction state,respectively,as well as the pelvic function indexes[urethral rotation angle(URA),bladder neck descent(BND),and cervical outer opening mobility(CDD)]and the incidence of pelvic organ prolapse and stress urinary incontinence.Results At rest,the LHAP,LHLD,LHA,left muscle LAT,and right muscle LAT of the study group were(4.39±0.42)cm,(5.41±0.49)cm,(15.13±2.15)cm^(2),(0.69±0.12)cm,(0.64±0.09)cm,which were significantly longer(larger)than(3.80±0.31)cm,(4.74±0.36)cm,(13.08±2.45)cm^(2),(0.54±0.11)cm,(0.56±0.10)cm of the control group(P<0.05).In the state of maximum Valsalva,the LHAP,LHLD,LHA,left muscle LAT,and right muscle LAT of the study group were(4.69±0.36)cm,(5.91±0.44)cm,(18.13±2.22)cm,(0.59±0.10)cm,(0.58±0.12)cm,which were significantly longer(larger)than(4.02±0.41)cm,(5.14±0.56)cm,(16.08±2.18)cm,(0.51±0.09)cm,(0.49±0.10)cm of the control group(P<0.05).Under the condition of maximum anal contraction,the LHAP,LHLD,LHA,left muscle LAT,and right muscle LAT of the study group were(3.95±0.41)cm,(4.85±0.45)cm,(13.18±1.98)cm^(2),(0.68±0.08)cm,(0.71±0.12)cm,which were significantly longer(larger)than(3.50±0.32)cm,(4.51
作者
任艳
申倩
桂红
王琰
REN Yan;SHEN Qian;GUI Hong;WANG Yan(Department of Ultrasound,Weinan Central Hospital,Weinan 714000,Shaanxi,CHINA;Department of Obstetrics,Weinan Central Hospital,Weinan 714000,Shaanxi,CHINA)
出处
《海南医学》
CAS
2023年第9期1303-1307,共5页
Hainan Medical Journal
关键词
盆底三维超声
盆底二维超声
不同分娩方式
阴道分娩
剖宫产
并发症
Pelvic floor three-dimensional ultrasound
Pelvic floor two-dimensional ultrasound
Different delivery modes
Vaginal delivery
Cesarean section
Complication
