超声评价围产期妇女腹壁肌群动态变化的临床价值及影像学特点分析  

Ultrasound evaluation of clinical value and imaging characteristics of dynamic changes of abdominal wall muscles in perinatal women

作　　者：刘洪[1] 王大莲 李嘉舟 孙露[1] 蒋丽娜[1] 郑东[1] Liu Hong;Wang Da-lian;Li Jia-zhou;Sun Lu;Jiang Li-na;Zheng Dong(Department of Ultrasound Medicine,Dazhou Hospital of Integrated Traditional Chinese and Western Medicine,Dazhou 635000,China)

机构地区：[1]达州市中西医结合医院超声医学科,达州635000

出　　处：《湖南师范大学学报（医学版）》2022年第3期126-130,共5页Journal of Hunan Normal University(Medical Sciences)

摘　　要：目的:分析超声评价围产期妇女腹壁肌群动态变化的临床价值及影像学特点.方法:2019年1月~2020年4月达州市中西医结合医院收治的围产期妇女280例,回顾性收集其临床资料.分析不同时间点其双侧腹内斜肌(IO)、腹外斜肌(EO)、腹横肌(TrA)的厚度、上腹直肌(URA)厚度、下腹直肌(LRA)厚度、腹直肌内缘的距离.结果:孕39~40周、产后8周、产后半年、产后1年双侧IO、EO、TrA、URA、LRA的厚度呈上升趋势,产后1年之外均低于孕龄≤17周,差异均具有统计学意义.孕39~40周、产后8周、产后半年、产后1年双侧腹直肌内缘的距离呈降低趋势,但均高于孕龄≤17周,差异具有统计学意义.孕39~40周、产后8周、产后半年、产后1年腹直肌分离、腹壁肌肉损伤、筋膜缺损、腱划交界处损伤比例呈降低趋势,但均高于孕龄≤17周,产后8周与产后半年、产后半年与产后1年腹壁肌肉损伤、腹壁肌群筋膜缺损比例比较差异无统计学意义,产后8周、产后半年以及产后1年腱划交界处损伤比例比较差异无统计学意义,其余时间点比较差异均具有统计学意义.结论:超声可有效评价围产期妇女腹壁肌群变化,并为产妇产后的康复治疗方案的制定、治疗时机选择等提供客观量化依据.Objective To explore the ultrasound evaluation of clinical value and imaging characteristics of dynamic changes of abdominal wall muscles in perinatal women.Methods A total of 280 perinatal women admitted to dazhou hospital of inte-grated traditional chinese and western medicine from January 2019 to April 2020,their clinical data were retrospectively col-lected.The thickness of the transverse abdominis(TrA),the thickness of the upper rectus abdominis(URA),the thickness of the lower rectus abdominis(LRA),and the distance of the medial border of the rectus abdominis in different time points.Results The thicknesses of bilateral IO,EO,TrA,URA,and LRA showed an upward trend at 39~40 weeks of gestation,8 weeks post-partum,half a year postpartum,and 1 year postpartum,,and all differences were statistically significant.The distance between the inner edges of bilateral rectus abdominis at 39~40 weeks of gestation,8 weeks postpartum,half a year postpartum,and 1 year postpartum showed a decreasing trend,but except 1 year postpartum all were higher than gestational age≤17 weeks,and the difference was statistically significant.The proportion of rectus abdominis separation,abdominal wall muscle injury,fascia defect,and tendon demarcation junction injury showed a decreasing trend at 39~40 weeks of gestation,8 weeks postpartum,half a year postpartum,and 1 year postpartum,they were all higher than those at gestational age≤17 weeks,there was no sig-nificant difference in the proportions of abdominal wall muscle injury and abdominal wall muscle fascia defect between 8 weeks and 6 months postpartum,and 6 months postpartum and 1 year postpartum,there was no significant difference in the proportion of tendon delineation junction injury at 8 weeks postpartum,half a year postpartum,and 1 year postpartum and the differences at other time points were statistically significant.Conclusion Ultrasound could effectively evaluate the changes of abdominal wall muscle group in perinatal women,and provide objective quantitative basis for the f

关 键 词：产妇 围产期 腹壁肌群 动态变化 超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]