女性盆腔数字化重建与超声联合预测分娩与产后盆底恢复的临床研究  

Clinical Study on the Combination of Digital Pelvic Reconstruction and Ultrasound to Predict Delivery and Postpartum Pelvic Floor Recovery in Women

作　　者：胡文格 周奕 周素娥 陈彩霞 Hu Wenge;Zhou Yi;Zhou Su'e;Chen Caixia(Department of Obstetrics and Gynecology,Dongguan Dongcheng Hospital,Dongguan,Guangdong 523000;Department of Ultrasound,Dongguan Dongcheng Hospital,Dongguan,Guangdong 523000)

机构地区：[1]东莞市东城医院妇产科,广东东莞523000 [2]东莞市东城医院超声科,广东东莞523000

出　　处：《现代医用影像学》2020年第10期1819-1822,共4页Modern Medical Imageology

基　　金：2019年东莞市社会科技发展一般项目,立项编号:201950715043836。

摘　　要：目的:探讨女性盆腔数字化重建与超声联合预测分娩与产后盆底恢复的临床研究。方法:选择2018年1月至2020年2月,在本院妇科收治分娩的患者30例,设为观察组,另选择2016年1月至2017年12月之间,同种患者30例设为对照组。对照组采用女性盆腔数字化重建预测分娩及产后盆底恢复情况,观察组在对照组基础上联合综合超声预测分娩与产后盆底恢复情况,经过女性盆腔数字化重建与超声检查,进行评价,比较未生育与不同分娩方式盆底超声检查指标、母婴妊娠结局、依从性。结果:自然分娩的盆底各项指标均高于剖宫产及未生育者,剖宫产的盆底各项指标高于未生育者,数据有统计学意义(P<0.05);观察组产后大出血、锁骨骨折、胎膜早剥、新生儿窒息及颅内出血发生率,均低于对照组(P<0.05);观察组患者的依从率为93.33%(28/30),对照组的依从率为76.67%(23/30),观察组的依从率高于对照组(P<0.05)。结论:采用女性盆腔数字化重建联合超声进行预测分娩方式,有利于胎儿安全生产,对盆腔的内容进行了解,精准评估分娩方式,预防分娩对盆底结构的损伤,并对分娩后的康复训练进行指导,避免后遗症的发生率,值得推广应用。Objective:to investigate the clinical study of female pelvic digital reconstruction and ultrasound combined to predict delivery and postpartum pelvic floor recovery.Methods:thirty patients admitted to the department of gynecology of our hospital for delivery from January 2018 to February 2020 were selected as the observation group, and another 30 patients of the same type were selected from January 2016 to December 2017 as the control group. Control group adopts the female pelvic cavity digital reconstruction prediction childbirth and the postpartum pelvic floor recovery, observation group in the control group on the basis of comprehensive ultrasonic forecast delivery and postpartum pelvic floor recovery, after digital reconstruction and female pelvic ultrasound examination, evaluation and comparison of different delivery way and childless pelvic ultrasound examination index, maternal pregnancy outcome, compliance.Results:the pelvic floor indexes of natural delivery were all higher than those of cesarean section and non-birth, and the pelvic floor indexes of cesarean section were higher than those of non-birth, and the data were statistically significant(P<0.05). The incidence rates of postpartum hemorrhage, clavicular fracture, fetal membrane abruption, neonatal asphyxia and intracranial hemorrhage in the observation group were all lower than those in the control group(P<0.05). The compliance rate of the observation group was 93.33%(28/30), and that of the control group was 76.67%(23/30). The compliance rate of the observation group was higher than that of the control group(P<0.05).Conclusion:the female pelvic cavity digital reconstruction of joint predict ultrasonic childbirth way, is advantageous to the fetal safety in production, to understand the content of the pelvic accurately evaluate childbirth way, prevent the injury of pelvic floor structure, delivery and after delivery of rehabilitation training for guidance, to avoid the incidence of sequelae, is worthy of popularization and application.

关 键 词：女性盆腔数字化重建 超声 分娩方式 产后盆底恢复 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.6[医药卫生—诊断学]