摘要
目的:分析经会阴盆底三维超声检查对阴道分娩产妇产后盆膈裂孔结构的评估价值。方法:抽取2018年3月至2020年10月郑州人民医院收治的经阴道分娩产后复查的320例产妇作为观察组,另抽取同期就诊的无生育或流产史的80例女性作为对照组。分析观察组产妇产后盆底结构异常的发生率;比较观察组与对照组静息状态、缩肛状态、Valsalva动作下的盆底参数,包括盆膈裂孔面积(HA)、盆膈裂孔左右径(LR)及盆膈裂孔前后径(AP);比较观察组与对照组缩肛状态下盆底参数的变化率,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:观察组产后6~8周盆底外部结构异常发生率为91.25%(292/320),盆底内部结构异常发生率为47.19%(151/320)。观察组静息状态、缩肛状态、Valsalva动作下HA、LR、AP均大于对照组,差异有统计学意义(P<0.05)。观察组缩肛状态下As、Rs、Ps均小于对照组,差异有统计学意义(P<0.05)。结论:经会阴盆底三维超声可评价阴道分娩产妇产后盆膈裂孔结构变化及肛提肌收缩功能变化,对产后盆底疾病的预测具有一定价值。
Objective To analyze the value of transperineal pelvic floor three-dimensional ultrasound in evaluation of postpartum pelvic diaphragm hiatus of puerperae with vaginal delivery.Methods A total of 320 cases of postpartum who gave vaginal delivery and had reexamination in Zhengzhou People’s Hospital from March 2018 to October 2020 were selected as the observation group.Another 80 women with no history of dilivery or abortion were selected as the control group.The incidence of postpartum pelvic floor abnormalities in observation group was analyzed.The pelvic floor parameters in resting state,anal contraction state and Valsalva action,such as pelvic diaphragm hiatus area(HA),pelvic diaphragm hiatus left-right diameter(LR),pelvic diaphragmhiatus anteroposterior diameter(AP),were compared between observation group and control group.The change rates of pelvic floor parameters in anal contraction state,such as change rate of pelvic diaphragm hiatus area(As),change rate of pelvic diaphragm hiatus left-right diameter(Rs),change rate of pelvic diaphragm hiatus anteroposterior diameter(Ps),were compared between observation group and control group.Results The incidence of abnormal pelvic floor external structure was 91.25%(292/320),and the incidence of abnormal pelvic floor internal structure was 47.19%(151/320)in observation group at 6 to 8 weeks after delivery.The HA,LR and AP in resting state,anal contraction state and Valsalva action in observation group were greater than those in control group(P<0.05).The As,Rs and Ps in anal contraction state in observation group were less than those in control group(P<0.05).Conclusions Transperineal pelvic floor three-dimensional ultrasound can evaluate the structural changes of pelvic diaphragm hiatus and contractile function of levator ani muscle after vaginal delivery.It has certain value in the prediction of postpartum pelvic floor diseases.
作者
吕新华
王岩青
万洁
修阳阳
Lyu Xinhua;Wang Yanqing;Wan Jie;Xiu Yangyang(Department of Ultrasound Medicine,Zhengzhou People’s Hospital,Zhengzhou 450000,China)
出处
《中国实用医刊》
2021年第13期70-73,共4页
Chinese Journal of Practical Medicine
关键词
会阴
盆底三维超声
阴道分娩
产妇
盆膈裂孔结构
评估价值
Perineum
Pelvic floor three-dimensional ultrasound
Vaginal delivery
Puerperae
Pelvic diaphragm hiatus structure
Evaluation value
