经会阴部三维盆底超声动态评估产后盆底结构及功能的应用效果分析  

Analysis of the effect of dynamic evaluation of postpartum pelvic floor structure and function by perineal three-dimensional pelvic floor ultrasound

作　　者：李媛媛[1] 陈瑞 Li Yuanyuan;Chen Rui(Department of Ultrasound Diagnostics,Jiangbei Hospital of Zhongda Hospital Affiliated to Southeast University,Nanjing 210044,China)

机构地区：[1]东南大学附属中大医院江北院区(南京市大厂医院)超声诊断科,江苏南京210044

出　　处：《实用妇科内分泌电子杂志》2021年第32期65-67,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 分析经会阴部三维盆底超声动态评估产后盆底结构及功能的应用效果。方法 筛选140例分娩产妇作为研究对象,将其根据随机数字表法分为A组和B组,各70例。A组产妇采用阴道分娩,B组产妇采用剖宫产。将同期60名未生育女性纳入C组。三组均经会阴部三维盆底超声检查,并对检查结果进行分析。结果 静息状态下、最大Valsalva动作下,A组及B组LH-ap、LH-rl、LH-area水平均高于C组,差异有统计学意义(P<0.05);A组均高于B组,差异有统计学意义(P<0.05);Valsalva动作下,A组与B组膀胱后角、尿道旋转角、膀胱颈移动度、尿道倾斜角均高于C组,差异有统计学意义(P<0.05),A组均高于B组,差异有统计学意义(P<0.05)。结论 经会阴部三维盆底超声动态评估,明确阴道分娩产妇相比剖宫产产妇更容易发现产后盆底结构及功能变化,为产后开展针对性的康复训练提供可靠的依据。Objective To analyze the application effect of transperineal three-dimensional pelvic floor ultrasound in dynamic evaluation of postpartum pelvic floor structure and function. Methods 140 parturients were selected as research objects and randomly divided into group A and group B, each with 70 cases. Group A parturients delivered vaginally, group B parturients delivered cesarean section. Sixty women who did not give birth during the same period were included in group C. All the three groups underwent perineal three-dimensional pelvic floor ultrasound examination and the examination results were analyzed. Results The levels of LH-ap, LH-rl and LH-area in group A and group B were higher than those in group C under resting state and maximum Valsalva movement, with statistical significance(P<0.05). Group A was higher than group B, the difference was statistically significant(P<0.05). Under Valsalva movement, the bladder posterior Angle, urethra rotation Angle, bladder neck movement and urethra inclination Angle of group A and group B were higher than those of group C, with statistical significance(P<0.05), and group A was higher than group B, with statistical significance(P<0.05). Conclusion Through the dynamic evaluation of perineal three-dimensional pelvic floor ultrasound, it is clear that the postpartum pelvic floor structure and function changes are more likely to be found in women who deliver vaginally than those who deliver cesarean section, which provides a reliable basis for postpartum rehabilitation training.

关 键 词：三维盆底超声 会阴部 产后 盆底结构 盆底功能 

分 类 号：R714.6[医药卫生—妇产科学] R445.1[医药卫生—临床医学]