摘要
目的:经会阴盆底三维超声检测初产妇产后盆底结构和功能改变。方法:选取2019年3月-2021年12月在本院妇产科分娩并定期行产后复查的初产妇140例为观察组,其中经阴道分娩70例、剖宫产70例;同期未育体检健康妇女100例为对照组。研究对象均行经会阴盆底三维超声检查,比较各组盆底在静息状态、缩肛动作和Valsalva动作3种状态下的盆膈裂孔面积(HA)、盆膈裂孔左右径(LR)和盆膈裂孔前后径(AP)以及缩肛状态下盆底参数变化,包括盆膈裂孔面积变化率(As)、盆膈裂孔左右径变化率(Rs)和盆膈裂孔前后径变化率(Ps)。结果:观察组在静息状态、缩肛动作和Valsalva动作下HA(13.51±2.59 cm^(2)、11.63±1.54 cm^(2)、15.97±2.01 cm^(2))、LR(4.36±1.06 cm、3.42±0.92 cm、4.86±1.14 cm)和AP(4.98±1.53 cm、4.38±1.46 cm、5.47±1.93 cm)均高于对照组,且阴道分娩者均高于剖宫产者;缩肛状态下As(0.14±0.04)、Rs(0.22±0.02)和Ps(0.21±0.03)均低于对照组,且阴道分娩者均低于剖宫产者(均P<0.05)。结论:经会阴盆底三维超声行盆底结构和盆膈裂孔相关参数测量,妊娠与分娩均可对女性盆底结构与功能造成损害,以阴道分娩女性表现更为明显和严重。
Objective:To examine the structure and function changes of pelvic floor of women after the first delivery by transperineal intelligent pelvic floor three-dimensional ultrasound.Methods:140women after the first delivery who received delivery and postpartum examination in the obstetrics and gynecology department were selected in observation group from March 2019to December 2021,including 70cases with vaginal delivery in group A and 70cases with cesarean section in group B.Another 100healthy unconceived women were selected in control group during the same period.All these women were examined by transperineal intelligent pelvic floor three-dimensional ultrasound.The values of pelvic diaphragm hiatus area(HA),pelvic diaphragm hiatus left right diameter(LR),and pelvic diaphragm hiatus anterposterior diameter(AP)in the resting state,in the anal contraction maneuver,and in the Valsalva maneuver,and the change rates of the pelvic floor parameters in the constricted anus status,such as statepelvic diaphragm hiatus area(As),pelvic diaphragm hiatus left right diameter(Rs),and pelvic diaphragm hiatus anteroposterior diameter(Ps)of the women were compared among the three groups.Results:The HA values in the resting state,in the anal contraction maneuver,and in the Valsalva maneuver(13.51±2.59cm^(2),11.63±1.54cm^(2),and 15.97±2.01cm^(2)),the LR values in the resting state,in the anal contraction maneuver,and in the Valsalva maneuver(4.36±1.06cm,3.42±0.92cm,and 4.86±1.14cm),and the AP values in the resting state,in the anal contraction maneuver,and in the Valsalva maneuver(4.98±1.53cm,4.38±1.46cm,and 5.47±1.93cm)of the women in the observation group were significantly higher than those of the women in the control group,and which of the women in group A were significantly higher than those of the women in group B.In the anal contraction state,the values of As(0.14±0.04),Rs(0.22±0.02),and Ps(0.21±0.03)of the women in the observation group were significantly lower than those of the women in the control group,and which of
作者
周锋
刘满义
方毅斌
ZHOU Feng;LIU Manyi;FANG Yibin(Nanyang First People's Hospital Affiliated to Henan University,Nanyang,Henan Province,473003)
出处
《中国计划生育学杂志》
2023年第12期3016-3019,共4页
Chinese Journal of Family Planning
关键词
初产妇
经会阴盆底三维超声
盆底结构
盆底功能
盆膈裂孔
阴道分娩
剖宫产
Primipara
Transperineal pelvic floor three-dimensional ultrasound
Pelvic floor structure
Pelvic floor function
Pelvic diaphragmatic hiatus
Vaginal delivery
Cesarean section
