盆底超声对骨盆环疾病孕产妇经阴道分娩后的盆底功能的评估价值  

Evaluation of pelvic floor function by pelvic floor ultrasound in parturients with pelvic ring disease after vaginal delivery

作　　者：余显梅 黎俊余 谭春梅 廖兰 方丽[4] YU Xianmei;LI Junyu;TAN Chunmei;LIAO Lan;FANG Li(Department of Ultrasound,Southwest Medical University Affiliated Hospital Hejiang Hospital,Hejiang County People's Hospital,Luzhou 646200,China;Department of Ultrasound Medicine,Fengdu County People's Hospital,Chongqing 408299,China;Department of Imaging,Southwest Medical University Affiliated Hospital Hejiang Hospital,Hejiang County People's Hospital,Luzhou 646200,China;Department of Imaging,The First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]西南医科大学附属医院合江医院,合江县人民医院超声科,四川泸州646200 [2]重庆市丰都县人民医院超声医学科,重庆408299 [3]西南医科大学附属医院合江医院,合江县人民医院影像科,四川泸州646200 [4]成都医学院第一附属医院影像科,四川成都610500

出　　处：《医学影像学杂志》2024年第9期96-98,共3页Journal of Medical Imaging

基　　金：四川省科技计划项目(编号:2018JY0654)。

摘　　要：目的探讨经阴道分娩后骨盆环疾病孕产妇应用超声检查评估其盆底功能的临床价值。方法选取骨盆环疾病经阴道分娩孕产妇80例为观察组,选取同期孕产妇60例为对照组。应用超声扫描盆底结构,分别在静息状态和屏气用力呼吸、咳嗽等(Valsalva)动作,检测耻骨联合下缘的距离(BSD)、膀胱尿道后角(PUA)、膀胱颈移动距离(BND)、盆膈裂孔前后径(LHAP)、肛提肌裂孔左右径(LHLR),肛提肌裂孔最大面积和肛提肌厚度。结果静息状态时,观察组PUA、BND、LHAP、LHLR、肛提肌厚度及肛提肌裂孔最大面积结果为(124.70±11.46)°、(28.48±2.90)mm、(3.25±0.32)cm、(5.13±0.57)cm、(6.42±0.58)mm、(20.44±2.86)cm^(2),高于对照组的各项数值(116.92±12.05)°、(24.62±2.97)mm、(2.60±0.29)cm、(4.70±0.61)cm、(8.13±0.64)mm、(18.26±2.70)cm^(2),差异有统计学意义(P<0.05)。Valsalva动作后观察组PUA、BND、LHAP、LHLR、肛提肌厚度及肛提肌裂孔最大面积结果为(139.98±15.23)°、(31.48±3.17)mm、(3.76±0.41)cm、(5.90±0.65)cm、(7.52±0.96)mm、(22.87±3.16)cm^(2),高于对照组的各项数值(131.82±14.17)°、(26.14±2.85)mm、(3.11±0.37)cm、(4.65±0.73)cm、(9.60±0.91)mm、(19.79±2.94)cm^(2),差异有统计学意义(P<0.05),静息状态和Valsalva动作后,观察组BSD为(16.21±2.30)mm和(17.25±2.23)mm,低于对照组(18.59±2.27)mm和(19.04±2.31)mm,差异有统计学意义(P<0.05)。结论经阴道分娩后骨盆环疾病孕产妇应用超声进行扫描,能全面立体观察盆底功能的变化。Objective The pelvic floor function of the pregnant women with pelvic ring disease after vaginal delivery was evaluated by ultrasonography to guide the rehabilitation of the pregnant women with pelvic ring disease.Methods 80 parturients with pelvic ring disease who underwent vaginal delivery were selected as the observation Group,and 60 parturients without pelvic ring disease during the same period were selected as the control group.The pelvic floor structure was scanned by ultrasound in resting state,and breath holding,forced breathing and coughing(Valsalva).We measured the distance of inferior border of pubic symphysis(BSD),posterior angle of bladder urethra(PUA),distance of bladder neck movement(BND),anterior and posterior diameter of pelvic diaphragmatic hiatus(LHAP),left and right diameter of levator ani(LHLR),maximum area of levator ani hiatus,and thickness of levator animuscle.Results The PUA,BND,LHAP,LHLR,the thickness of the levator ani muscle and the maximum area of the levator ani hiatus were(139.98±15.23)°,(31.48±3.17)mm,(3.76±0.41)cm,(5.90±0.65)cm,(7.52±0.96)mm,and(22.87±3.16)cm^(2),which were higher than the values of the control group(131.82±14.17)°,(26.14±2.85)mm,(3.11±0.37)cm,(4.65±0.73)cm,(9.60±0.91)mm and(19.79±2.94)cm^(2)(P<0.05).After resting state and Valsalva maneuver,the BSD of the observation group was(16.21±2.30)mm and(17.25±2.23)mm,which were lower than the control group's(18.59±2.27)mm and(19.04±2.31)mm(P<0.05).Conclusion Ultrasound scanning can comprehensively observe the changes of pelvic floor function and guide the rehabilitation of pregnant women with pelvic ring disease after vaginal delivery.

关 键 词：盆底超声检查 骨盆环疾病 孕产妇 阴道分娩 盆底功能 

分 类 号：R681.6[医药卫生—骨科学] R445.1[医药卫生—外科学]