摘要
目的:比较初次分娩与二次分娩膀胱膨出产妇的盆底超声参数及膨出类型有无差异。方法:选择产后6~8周临床诊断为膀胱膨出的患者151例(其中初产组86例,经产组65例),将初产组与经产组在不同分娩方式下膀胱膨出的超声参数进行比较,同时比较两组膀胱膨出Green分型的差异。结果:初产组和经产组在不同分娩方式,静息状态膀胱颈位置(BNP-R)、尿道倾斜角(UIA-R)、膀胱尿道后角(PUA-R),最大Valsalva(瓦氏)状态下膀胱颈位置(BNP-V)、尿道倾斜角(UIA-V)、膀胱尿道后角(PUA-V),膀胱颈移动度(BND)、尿道旋转角(URA)超声参数比较均未见显著性差异(P>0.05)。GreenⅡ型膀胱膨出在产后膀胱膨出妇女中最常见,两组产妇GreenⅠ型、Ⅱ型膀胱膨出发生率差异无统计学意义(P>0.05);经产组GreenⅢ型膀胱膨出的发生率较初产组增高,差异具有统计学意义(P<0.05)。结论:盆底超声是有效定量筛查产后妇女有无膀胱膨出的影像学检查方法,并能对膀胱膨出进行Green分型。
Objective:To compare the ultrasound parameters of pelvic floor and the types of cystocele between the first delivery and the second delivery.Methods:A total of 151 patients diagnosed with cystocele at 6~8 weeks postpartum were selected(86 cases in the primiparous group and 65 cases in the multiparous group).The ultrasound parameters of cystocele in different delivery modes were compared between the primiparous group and the multiparous group,and the difference of Green type of cystocele between the two groups was also compared.Results:There were no significant differences in the ultrasonographic parameters of BNP-R,UIA-R,PUA-R,BNP-V,UIA-V,PUA-V,BND and URA between the primiparous group and the multiparous group in different delivery modes(P>0.05).Green typeⅡcystocele is the most common in postpartum women with cystocele,and there is no statistical difference in the incidence of Green typeⅠand typeⅡcystocele between the two groups(P>0.05).The incidence of Green typeⅢcystocele in multiparous group was greater than that in primiparous group,with statistical significance(P<0.05).Conclusion:Pelvic floor ultrasound is an effective imaging method to quantitatively screen postpartum women for cystocele,and can be used for Green type of cystocele.
作者
李晓
李少春
万泛旋
雷群
LI Xiao;LI Shao-chun;WAN Fan-xuan;LEI Qun(Department of Ultrasound Medicine,the Second People's Hospital of Nanning,Nanning 530031,China)
出处
《中国临床医学影像杂志》
CAS
CSCD
2023年第11期803-806,共4页
Journal of China Clinic Medical Imaging
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190402)。
