摘要
目的:探讨经会阴二维与三维超声评价女性产后盆底功能损伤的价值。方法:采用回顾性研究方法,2013年2月—2016年8月选择在和睦家医院产科进行分娩并在分娩后进行门诊检查的妇女78例,按分娩方式分为经阴道自然分娩40例(顺产组)和剖宫产38例(剖产组),两组都进行会阴二维与三维超声评价,记录女性产后盆底功能损伤情况。结果:所有产妇的盆底器宫在超声中都能够清晰地显示,两组的BSD、静息状态与最大Valsalva状态PUA值对比无明显差异(P>0.05),不过顺产组的BND值明显高于剖产组,分别为(24.98±2.83)mm与(20.10±1.46)mm,P<0.05。两组Valsalva状态的盆隔裂孔左右径与前后径都高于静息状态(P<0.05),顺产组Valsalva状态的盆隔裂孔左右径与前后径都高于剖产组(P<0.05)。剖产组的压力性尿失禁和盆腔器宫脱垂发生率分别为5.3%和2.6%,都明显低于顺产组的20.0%和15.0%(P<0.05)。结论:女性产后特别是顺产后盆底功能损伤比较常见,经会阴二维与三维超声可为女性产后盆底功能损伤的诊断提供解剖学和功能学方面的依据,有很好的应用价值。
Objective: To evaluate the value of evaluation of postpartum pelvic floor function impairment of women with perineal two-dimensional and three-dimensional ultrasound. Methods: A retrospective study method is used for 78 women who chose to deliver and receive out-patient examination after delivery in United Family Hospitals & Clinics from February 2013 to August 2016. They are divided into 40 cases of vaginal delivery (vaginal delivery group) and 38 cases of cesarean section (cesarean delivery group) by the mode of delivery. The two groups are evaluated with perineal two-dimensional and three-dimensional ultrasound. The postpartum pelvic floor function impairment of women is recorded. Results: Pelvic floor organs of all the lying-in women can be clearly shown by ultrasound. BSD and PUA value in the resting state and maximum Valsalva state of the two groups have no significant difference (P〉0.05), but the BND value of the vaginal delivery group is significantly higher than that of the cesarean delivery group, which are (24.98±2.83) mm and (20.10±1.46) mm, respectively (P〈0.05). The left-right diameter and the anteroposterior diameter of pelvic septum of two groups in the Valsalva state are both bigger than those in the resting state (P〈0.05). The left-right diameter and the anteroposterior diameter of pelvic septum of the vaginal delivery group is both bigger than those of the cesarean delivery group (P〈0.05). The incidence of stress incontinence and pelvic organ prolapse of the cesarean delivery group is 5.3% and 2.6%, respectively, which are significantly lower than 20% and 15% of the vaginal delivery group (P〈0.05). Conclusion: Pelvic floor function impairment is relatively common in women after delivery, especially after vaginal delivery. The perineal two-dimensional and three-dimensional ultrasound can provide anatomical and functional basis for the diagnosis of postpartum pelvic floor function impairment of women, and has a good application value.
作者
王爽
王静
WANG Shuang;WANG Jing
出处
《中国数字医学》
2018年第2期95-97,共3页
China Digital Medicine
关键词
产后盆底功能损伤
自然分娩
剖宫产
三维超声
二维超声
postpartum pelvic floor function impairment, vaginal delivery, caesarean section, three-dimensional ultrasound, two-dimensional ultrasound