经会阴超声评估不同分娩方式对女性后盆腔器官的影响  

Effects of different delivery modes on female posterior pelvic organs evaluated by transperineal ultrasonography

作　　者：邹霞[1] 杨秋红[1] 王慧芳[1] 高露露[1] 方凡[1] 张婵[1] 

机构地区：[1]深圳大学第一附属医院深圳市第二人民医院超声科,广东深圳518035

出　　处：《中国妇幼保健》2015年第20期3397-3399,共3页Maternal and Child Health Care of China

摘　　要：目的运用经会阴超声评估不同分娩方式对女性后盆腔器官的影响。方法对自然分娩100例、剖宫产术后100例及未孕100例妇女运用腔内探头经会阴对后盆腔器官位置、结构进行观察,评估不同分娩方式对后盆腔器官结构和功能的影响。结果最大Valsalva动作下,所有受检者肛直肠角均较静息状态下缩小,3组受检者在最大Valsalva动作下和静息状态下肛直肠角大小差异无统计学意义(P>0.05);会阴体运动过度、直肠膨出、肛门内外括约肌损伤发生率顺产组高于未孕组和剖宫产组。结论不同分娩方式导致女性后盆腔器官结构及功能不同程度的损伤。Objective：To evaluate the effects of different delivery modes on female posterior pelvic organs by transperineal ultrasonography.Methods：Transperineal ultrasonography（intracavity probe） was conducted among 100 cases of spontaneous delivery,100 cases after cesarean section,and 100 unpregnant women to observe the position and structure of posterior pelvic organs,the effects of different delivery modes on structure and function of female posterior pelvic organs were evaluated.Results：On maximum Valsalva maneuver,anorectal angles of all the women were smaller than those in a resting state,there was no statistically significant difference among the three groups（P〈0.05）; the incidence rates of perineal body hyperkinesia,rectocele,trauma of internal and external sphincter in spontaneous delivery group were higher than those in unpregnancy group and cesarean section group.Conclusion：Different delivery modes can induce different degrees of structure and function injuries of female posterior pelvic organs.

关 键 词：经会阴超声 分娩方式 后盆腔 

分 类 号：R714.46[医药卫生—妇产科学]