超声评估产后早期腹直肌分离与盆底功能障碍性疾病发生关系的研究  

Ultrasonographic evaluation of the relationship between diastasis recti abdominis and pelvic floor dysfunction in early postpartum period

作　　者：南淑良 刘菲菲[2] 刘莉[1] 徐姣姣[1] 刘玮 穆靓[1] NAN Shu-liang;LIU Fei-fei;LIU Li;XU Jiao-jiao;LIU Wei;MU Liang(Ultrasound Medical Diagnosis Center,Shaanxi Povincial People's Hospital,Xian 710068,China;Department of Ultrasound,Peking University Peopleys Hospital,Beijing 100044,China)

机构地区：[1]陕西省人民医院超声诊断中心,陕西西安710068 [2]北京大学人民医院超声科,北京100044

出　　处：《中国临床医学影像杂志》2022年第3期206-209,共4页Journal of China Clinic Medical Imaging

基　　金：陕西省卫生健康科研基金(2021D028);陕西省重点研发计划项目(2021SF-199);陕西省中医药管理局科研课题(2019-GJ-QT004)。

摘　　要：目的:应用超声评估产后早期腹直肌分离(DRA)和盆底脏器脱垂(POP)发生之间的关系。方法:选择2020年9月—2021年4月我院行超声检查且产后时间为6~12周的初产妇,根据是否存在DRA分为DRA组和无DRA组,分析两组女性POP发生率的差异。同一批研究对象根据是否存在POP分为POP组和对照组,比较两组女性4个位置腹直肌间距(IRD)的差异,同时对POP组脱垂情况进行评分,分析不同评分之间4个位置IRD的差异。结果:DRA组POP发生率为69.88%,无DRA组POP发生率约75%,两组女性POP发生率比较差异无统计学意义;POP组与对照组4个位置IRD的比较差异无统计学意义,不同POP评分之间4个位置IRD的比较差异亦无统计学意义。结论:超声检查可有效评估产后早期女性腹直肌及盆底结构与功能。产后早期POP的发生与DRA无明显的相关性,DRA不是产后早期POP发生的独立危险因素。Objective:To evaluate the relationship between diastasis recti abdominis(DRA)and pelvic organ prolapse(POP)in early postpartum period.Methods:The parturient women who underwent ultrasound examination during postpartum time of6 to 12 weeks in our hospital from September 2020 to April 2021 were divided into DRA group and non-DRA group according to the presence of DRA.The difference in the incidence of POP between the two groups was analyzed.The same group of subjects were divided into POP group and control group according to the existence of POP.The difference of inter-rectus distance(IRD)at four positions was compared between the two groups.At the same time,the POP group were scored,and the difference of IRD between four positions among different scores was analyzed.Results:The incidence of POP in DRA group was about 69.88%,and the incidence of POP in non-DRA group was about 75%.There was no significant difference in the incidence of POP between the two groups.There was no significant difference in IRD between POP group and control group,and there was no significant difference in IRD among different POP scores.Conclusion:Ultrasonography can effectively evaluate the structure and function of rectus abdominis and pelvic in early postpartum women.There was no significant correlation between the occurrence of early postpartum POP and DRA,and DRA was not an independent risk factor for the occurrence of early postpartum POP.

关 键 词：腹直肌 盆底疾病 超声检查 多普勒 彩色 

分 类 号：R323.31[医药卫生—人体解剖和组织胚胎学] R337[医药卫生—基础医学]