经会阴三维超声评估女性产后盆底功能障碍性疾病与雌激素水平的相关性分析  

Correlation between estrogen levels and postpartum female pelvic floor dysfunction in women evaluated by transperineal three-dimensional ultrasound

作　　者：李惠兰[1] 胡伟[1] 熊俊 LI Huilan;HU Wei;XIONG Jun(Department of Ultrasound Ima¬ging,Shenzhen Nanshan District Maternal and Child Health Hospital,Shenzhen 518000,Guangdong,China)

机构地区：[1]深圳市南山区妇幼保健院超声影像科,广东深圳518000

出　　处：《中国性科学》2021年第7期69-71,共3页Chinese Journal of Human Sexuality

基　　金：深圳市南山区技术研发和创意设计项目分享基金教育(卫生)科技资助项目(2013007)。

摘　　要：目的分析产后盆底功能障碍性疾病(FPFD)经会阴三维超声指标与雌激素的相关性。方法选取2018年2月至2020年1月深圳市南山区妇幼保健院收治的384例行会阴盆底三维超声检查的产妇作为研究对象。根据有无FPFD将患者分为两组,其中有盆底功能障碍性疾病设为观察组(n=147),无盆底功能障碍性疾病设为对照组(n=237)。采用经会阴三维超声测量并计算两组肛提肌裂孔前后径改变量(△L)、肛提肌裂孔面积改变量(△A)及肛提肌最大Valsalva状态下应变率(ε)。检测两组血清雌二醇(E_(2))、雌三醇(E_(3))及孕酮(P)。比较两组超声指标与雌激素水平,并进行相关性分析。结果观察组△A、△L及ε均高于对照组,E_(2)、E_(3)及P均低于对照组,差异具有统计学意义(P<0.05)。FPFD患者E_(2)、E_(3)及P水平与△A、△L及ε水平均呈显著的负相关关系(r<0,P<0.05)。结论自然分娩产后FPFD患者雌激素水平低于无FPFD患者,且影像学改变较无FPFD患者更大,自然分娩产后FPFD的发生可能与雌激素水平的改变有关。Objective To analyze the correlation between the transperineal three-dimensional ultrasound and estrogen in postpartum female pelvic floor dysfunction(FPFD).Methods 384 parturients who underwent three-dimensional ultrasound examination of the perineum and pelvic floor were divided into 2 groups based on the presence or absence of FPFD.Transperineal three-dimensional ultrasound was used to measure and calculate the an-teroposterior diameter change of the levator ani muscle(△L),the change of levator ani muscle area(△A)and the strain rate(ε)of the levator ani muscle under the maximum Valsalva state.Test the patient's serum estradiol 2(E_(2)),estriol 3(E_(3))and progesterone(P).Compare the ultrasound index and estrogen level of each group of patients,and conduct correlation analysis.Results The observation group △A,△L and e were higher than the control group,while E_(2),E_(3) and P were lower than the control group(P<0.05).The E_(2),E_(3) and P levels of FPFD patients were significantly negatively correlated with the △A,△L and e levels(r<0,P<0.05).Conclusions Estrogen levels in patients with FPFD after natural delivery were lower than those without FPFD,and imaging changes were greater than those without FPFD.The occurrence of FPFD after natural delivery may be related to changes in estrogen levels.

关 键 词：盆底功能障碍性疾病 经会阴三维超声 雌激素 

分 类 号：R714[医药卫生—妇产科学]