经会阴超声对女性盆底功能障碍性疾病的观察和评估  

Observation and Evaluation on Female Pelvic Floor Dysfunction through Perineal Ultrasound

作　　者：覃艳玲[1] 蒋江帆[1] 潘素丽 梁凤玲[1] 高珊[3] 李晓[1] 马红霞[1] 

机构地区：[1]南宁市妇幼保健院功能科,南宁市530011 [2]南宁市第八人民医院B超室 [3]南宁市妇幼保健院盆底治疗中心

出　　处：《中国超声医学杂志》2013年第12期1130-1132,共3页Chinese Journal of Ultrasound in Medicine

基　　金：广西南宁市科学基金(No.20123150)

摘　　要：目的运用经会阴超声对女性盆底功能障碍性疾病的观察和评估。方法对自然分娩50例、剖宫产术后42例及对照未孕30例,运用三维容积或腔内探头,经会阴对盆底肌肉及盆腔器官位置、结构的观察,评估有无损伤及功能有无障碍。结果组间比较:尿道旋转度顺产组高于未孕组和剖宫产组,静息状态下顺产组、剖宫产组膀胱颈到耻骨联合下缘距离低于未孕组;宫颈到耻骨联合下缘距离,未孕组大于顺产组和剖宫产组;尿道漏斗及直肠膨出发生率顺产组高于未孕组和剖宫产组。Valsalva肛提肌最大面积未孕组小于顺产组和剖宫产组,差异均有统计学意义(P<0.05)。结论不同分娩方式对盆底器官结构及功能引起不同程度的损伤。Objective Using transperineal ultrasound in female pelvic floor dysfunction observation and evaluation. Methods 50 cases,vaginal delivery after cesarean section of 42 cases and a control non-pregnant group 30 cases, using 3D volume or intraluminal probe, perinealobservation of pelvic floor muscle and pelvic organposition, structure, to assess whether the injury andfunction has no obstacle. Results Urethral rotation natural labor group was higher than that of non-pregnant group and caesarean birthgroup group, resting state, cesarean section groupbladder neck to the lower edge of pubic symphysisdistance less than non pregnant group;group cervical to lower edge of pubic symphysis distance, non-pregnant group than natural labor group and the cesarean section group; urethral and rectal prolapsed occurred funnel the rate of spontaneous delivery group was higher than that of non-pregnant group and the cesarean section group. Valsalvalevator ani muscle in non-pregnant group is less than the maximum area of natural labor group and the cesarean section group,the differences were statistically significant（P〈0.05）. Conclusions Different delivery modes on the structure and function of pelvic floor organs caused by different degree of damage.

关 键 词：分娩方式 会阴超声 盆腔器官 盆底功能障碍 

分 类 号：R445.1[医药卫生—影像医学与核医学]