肛提肌裂孔与产后早期盆腔器官位置的相关性分析  

Correlation Analysis Between Levator Hiatus and Location of Pelvic Organs in Early Postpartum Period

作　　者：唐敏[1] 牛亚玲[1] 唐燕[1] 刘梅川 胡张春 宋建琼[1] Tang Min;Niu Yaling;Tang Yan;Liu Meichuan;Hu Zhangchun;Song Jianqiong(Department of Ultrasound,Central Hospital of Dazhou,Dazhou,Sichuan 635000,China)

机构地区：[1]达州市中心医院住院部超声医学科,四川省达州山635000

出　　处：《中国超声医学杂志》2021年第11期1293-1297,共5页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨肛提肌裂孔前后径、面积变化情况与产后早期盆腔器官位置的相关性。方法纳入102例产后第45~90天女性患者,对所有患者进行盆底二维及三维超声检查,测量静息状态、收缩状态肛提肌裂孔前后径、面积,绘制子宫脱垂、膀胱膨出产妇不同状态下肛提肌裂孔前后径、面积受试者工作特征(ROC)曲线。结果产后早期静息状态、收缩状态下肛提肌裂孔前后径、面积与子宫、膀胱位置均有相关性(P<0.05)。ROC曲线显示子宫脱垂时静息状态、收缩状态下肛提肌裂孔前后径曲线下面积分别为0.716、0.680,肛提肌面积的曲线下面积分别为0.698、0.714。膀胱膨出时静息状态、收缩状态下肛提肌裂孔前后径曲线下面积分别为0.640、0.653,肛提肌面积曲线下面积是0.725、0.699。结论产后早期静息状态、收缩状态下肛提肌裂孔前后径、面积与子宫、膀胱位置均有相关性,但肛提肌裂孔面积与产后早期子宫、膀胱位置的相关性多高于肛提肌裂孔前后径。Objective To investigate the correlation between the changes of anteroposterior(AP) diameter and area of the levator hiatus and the location of pelvic organs in the early postpartum period. Methods 102 postpartum female patients from 45 to 90 days were included. All patients were examined by two-dimensional and three-dimensional pelvic floor ultrasound. The AP diameter and area of levator hiatus were measured in resting state and contraction state. The receiver operating characteristic(ROC) curves of AP diameter and area of levator hiatus at different states were drawn in the maternals with uterine prolapse and cystoceles. Results The hiatal AP diameter and area at resting and contraction state was correlated with the position of uterus and bladder in the early postpartum period(P<0.05). The area under the ROC curve of the AP diameter of levator hiatus at resting and contraction state were 0.716, 0.680, the area under the ROC curve of the area of levator hiatus were 0.698, 0.714 respectively in the maternals with uterine prolapse. The area under the ROC curve of the AP diameter of levator hiatus at resting and contraction state were 0.640, 0.653, the area under the ROC curve of the area of levator hiatus were 0.725, 0.699 respectively in the maternals with cystocele. Conclusions The AP diameter and area of levator hiatus at resting and contraction state are correlated with the position of uterus and bladder in early postpartum, but the correlation between the area of levator hiatus and the position of uterus and bladder in early postpartum is higher than AP diameter of levator hiatus.

关 键 词：盆底 肛提肌裂孔 盆腔器官脱垂 超声检查 

分 类 号：R711.5[医药卫生—妇产科学]