摘要
目的探讨盆底三维超声对健康初产女性不同分娩方式盆膈裂孔的应用价值。方法随机选取68例体重指数正常的健康初产妇进行回顾性研究,按照分娩方式不同,即经阴道分娩和剖宫产分娩分为观察组和对照组,各34例,均采用盆底三维超声模式观察盆膈裂孔的形态、大小,并对盆膈裂孔左右径、前后径、周长、面积等相关参数测量,在二维灰阶模式下正中矢状切面对膀胱颈移动度(BND)进行测量。结果不同分娩方式的健康初产产妇在Valsalva状态下盆膈裂孔的左右径、前后径、周长、面积以及正中矢状切面的BND指标对比,组间差异明显(P<0.05)。在静息状态下盆膈裂孔支持组织功能比较,观察组与对照组的有关数据比较差异无统计学意义(P>0.05)。结论盆底三维超声检测方便快捷、可重复性强、性价比高、产妇易于接受,对盆膈裂孔检查准确、直观、清晰。对产后盆底功能障碍性疾病的诊断及产后盆底康复治疗效果的评价提供了重要的影像学依据,具有临床推广应用价值。
Objective To observe the effect of different delivery methods on the pelvic cavity of the first female with pelvic floor ultrasonography.Methods 68 patients of primipara were analyzed.According to the different modes of delivery,the patients were divided into observation group（vaginal delivery）and control group（cesarean delivery）.The morphology and characteristics of pelvic diaphragm hiatus hole and the related parameters and BND were observed.Results The difference of the anteroposterior diameter,BND,circumference and area index between the left and right sides of the pelvic fissure in the different mode of delivery between the groups were obviously different（P〈0.05）.There was significant difference between the two groups in the function of pelvic diaphragm hiatus in resting state,and the difference was statistically significant（P〈0.05）.Conclusion The pelvic floor three-dimensional ultrasound is convenient,fast,reproducible,cost-effective,and easy to accept.It is accurate,intuitionistic and clear for the phrenic hole of the pelvis,which provides an important role in the diagnosis of dysfunction.
作者
朱冬梅
李艳
刘学彬
杨姣
陈华平
郭志伟
ZHU Dongmei;LI Yan;LIU Xuebing;YANG Jiao;CHEN Huaping;GUO Zhiwei(Department of Ultrasound Diagnosis,Nanchong Central Hospital,The Second Clinical Medical College of North Sichuan Medical College,Nanchong 637000,Sichuan,China;Department of Radiology Diagnosis,Nanchong Central Hospital,The Second Clinical Medical College of North Sichuan Medical College,Nanchong 637000,Sichuan,China)
出处
《西部医学》
2018年第8期1218-1221,共4页
Medical Journal of West China
基金
四川省医学科研青年创新课题(Q16047)
四川省卫计委科技项目(2018PS149)
四川省南充市科技局研发资金项目(2015A0030)
关键词
初产者
盆膈裂孔
盆底三维超声
不同分娩方式
Nullipara
Levator hiatus
Pelvic floor three-dimensional ultrasound
Delivery
