经会阴超声观察产后康复治疗对盆膈裂孔的影响  

Eeffects of postpartum rehabilitation treatment through the pelvic diaphragm hiatal by transperineal ultrasound

作　　者：蒋莹[1] 刘静华[1] 刘丽[1] 

机构地区：[1]深圳市龙岗区妇幼保健院超声一科,518172

出　　处：《临床超声医学杂志》2017年第11期751-754,共4页Journal of Clinical Ultrasound in Medicine

基　　金：深圳市龙岗区科技发展资金项目(YLWS20150515112804137)

摘　　要：目的应用经会阴超声观察产后盆底功能障碍患者康复治疗的效果。方法选取产后盆底功能障碍性患者80例,随机分为康复组(40例)和对照组(40例),对照组患者行常规健康教育及产后相关保健操锻炼,康复组患者在产后6周时进行为期8周的康复治疗。应用经会阴超声分别测量并比较两组患者产后6周(康复组患者治疗前)和产后14周(康复组治疗结束后)在静息、Valsalva动作及缩肛状态下的盆膈裂孔面积、周长、前后径及左右径。结果两组产后6周时三种状态下盆膈裂孔各参数比较差异均无统计学意义。产后14周康复组在静息状态时盆膈裂孔面积、周长、前后径及左右径分别为(11.67±1.68)cm2、(12.90±0.86)cm、(4.30±0.34)cm及(3.47±0.31)cm,在Valsalva动作时的盆膈裂孔面积、周长、前后径及左右径分别为(18.90±4.74)cm2、(16.60±2.01)cm、(5.81±0.91)cm、及(4.49±0.53)cm,与对照组比较[静息:(12.95±2.07)cm2、(13.89±1.17)cm、(4.62±0.46)cm、(3.94±0.38)cm,Valsalva动作:(22.90±4.79)cm2、(18.32±2.41)cm、(6.25±0.83)cm、(5.20±0.48)cm],差异均有统计学意义(均P<0.05);而缩肛时,两组盆膈裂孔面积、周长、前后径及左右径比较差异均无统计学意义。结论产后早期的盆底康复治疗可以缩小盆膈裂孔的径线,促进盆底解剖结构及功能的恢复,经会阴超声为临床产后盆底康复治疗效果的评价提供了可靠依据。Objective To observe the efficacy of rehabilitation treatment in patients with postpartum pelvic floor dysfunction by transperineal ultrasound.Methods Eighty cases of postpartum pelvic floor dysfunction patients were randomly divided into two groups.The control group：given regular heath education and postpartum heath care training（n =40）.The rehabilitation group：given 8 weeks of rehabilitation care at 6 weeks postpartum（n=40）.Transperineal ultrasound was used to take a perineal examination on the two groups.The values（including the pelvic hole＇s area,perimeter,front and back diameter and the left and right diameter）of 6 weeks postpartum（rehabilitation group patients before treatment）and the 14 weeks postpartum（after the rehabilitation treatment group）were measured respectively,with all the data were acquired in three different states（shrinkage anal,resting and Valsalva condition）,the results was compared.Results For the parameter obtained at 6 week after delivery,there were no statistical significance in the pelvic diaphragm hiatus under three conditions between two groups.For the parameter obtained at 14 week after delivery,the statistical significance were found（all P〈0.05）between two groups at the parameters of area,perimeter,anteroposterior diameter and transverse diameter of the pelvic diaphragm hiatus in the resting condition[for the rehabilitation group,the data were（11.67±1.68）cm2,（12.90±0.86）cm,（4.30±0.34）cm,（3.47±0.31）cm,and for the control group,the data were（12.95±2.07）cm2,（13.89±1.17）cm,（4.62±0.46）cm,（3.94 ±0.38）cm]and Valsalva condition[for the rehabilitation group,the data were（18.90±4.74）cm2,（16.60±2.01）cm,（5.81±0.91）cm,（4.49±0.53）cm,and for the control group,the date were（22.90±4.79）cm2,（18.32±2.41）cm,（6.25±0.83）cm,（5.20±0.48）cm,respectively].But the parameters had no statistical significance under the shrinkage anal condition.Conclusion The early postpartum pelvic floor rehabilitat

关 键 词：超声检查 经会阴 康复治疗 盆膈裂孔 

分 类 号：R246.3[医药卫生—针灸推拿学]