摘要
目的探究盆底三维超声评估产后盆底肌收缩功能的效果。方法选择2020年8月—2021年8月在右江民族医学院附属医院治疗的60例产后女性为研究对象,阴道分娩者30例,剖宫产者30例,同期选取无生育流产史的健康妇女30例为对照组。开展会阴三维超声检查,对比3组间静息与缩肛状态下盆隔裂孔测量参数,即盆膈裂孔的前后径(AP)、左右横径(LR)和盆膈裂孔的面积(HA)。结果在静息状态下,AP、LR、HA在阴道分娩组与对照组对比中均具有统计学意义(P<0.05)。在对照组与剖宫产组对比中,差异无统计学意义(P>0.05)。在缩肛状态中,AP、LR、HA在阴道分娩组与对照组比较中,差异具有统计学意义(P<0.05)。但是,在剖宫产组和对照组对比中,并无统计学意义(P>0.05)。结论利用会阴三维超声评估产后女性盆底肌收缩功能,具有可行性与有效性,值得推广。
Objective To explore the effects of three-dimensional ultrasound in evaluating the contractile function of pelvic floor muscle in postpartum women.Methods A total of 60 postpartum women treated in The Affiliated Hospital of Youjiang Medical University for Nationalities from August 2020 to August 2021 were selected as the subjects,with 30 cases in the vaginal delivery group and 30 cases in the cesarean section group.At the same time,30 healthy women without birth and abortion history were selected as the control group.Three-dimensional ultrasound examination of perineum was performed to compare the measurement parameters of pelvic diaphragmatic hiatus,i.e.anteroposterior diameter(AP),left and right transverse diameter(LR),and the pelvic diaphragmatic hiatus area(HA)in the resting and anal contraction state among the three groups.Results In the resting state,there were statistically significant differences in AP,LR and HA between the vaginal delivery group and the control group(P<0.05).There was no statistical difference between the control group and the cesarean section group(P>0.05).In the anal contraction state,the differences of AP,LR and HA were statistically significant between the vaginal delivery group and the control group(P<0.05).However,there was no statistical difference between the cesarean section group and the control group(P>0.05).Conclusion It is feasible and effective to evaluate the contractile function of pelvic floor muscle in postpartum women by perineal three-dimensional ultrasound,which is worthy of promotion.
作者
张秋艳
钟秋红
陆康玲
韦金婷
吴海萍
Zhang Qiuyan;Zhong Qiuhong;Lu Kangling;Wei Jinting;Wu Haiping(Department of Ultrasound,The Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)
出处
《右江民族医学院学报》
2022年第5期740-743,共4页
Journal of Youjiang Medical University for Nationalities
基金
百色市科学研究与技术开发计划项目(百科20203404)。
关键词
超声心动描记术
三维
盆底肌
收缩
产后女性
echocardiography,three-dimensional
pelvic floor muscle
contraction
postpartum women
