产后早期不同体位对智能盆底超声检查参数的影响  

The influence of different positions in early postpartum period on intelligent pelvic floor ultrasound parameters

作　　者：向秀艳 赵薇 文桂琼[1] 杨丽芳 李琴[1] XIANG Xiuyan;ZHAO Wei;WEN Guiqiong;YANG Lifang;LI Qin(Department of Ultrasound,The Affiliated Hospital of Guilin Medical University,Guilin 541001,China)

机构地区：[1]桂林医学院附属医院超声医学科,广西桂林541001

出　　处：《医学影像学杂志》2025年第2期113-116,共4页Journal of Medical Imaging

基　　金：广西自然科学基金项目(编号:2022GXNSFAA103015)。

摘　　要：目的探讨产后早期蹲踞式体位及膀胱截石位对智能盆底超声检查评估盆底多参数指标的影响。方法选取在我院进行盆底超声检查的产后早期产妇39例。运用智能盆底超声检查分别测量在膀胱截石位及蹲踞位的盆底相关参数指标,比较两组盆底参数值及对盆腔脏器脱垂诊断的差异性。结果1)Valsalva状态下,蹲踞位的膀胱颈距离、膀胱后壁距离、子宫颈最低点距离、直肠壶腹部距离较膀胱截石位时降低,尿道倾斜角、膀胱颈移动度及肛提肌裂孔前后径、左右径、面积、周长则较膀胱截石位时增大,差异均有统计学意义(P<0.05);膀胱后角的比较差异无统计学意义(P>0.05);2)两体位下超声检查对膀胱膨出的诊断差异具有统计学意义(P<0.05);但两种体位下超声检查对子宫脱垂的诊断差异无统计学意义(P>0.05)。结论两种体位下的盆底多参数指标差异具有统计学意义,相较于膀胱截石位,蹲踞式体位可以增加对前盆腔脏器脱垂的检出率,而对中盆腔脏器脱垂的检出优势不明显。Objective To investigate the effects of the squatting position and bladder lithotomy position in the early postpartum period on the intelligent pelvic floor ultrasound evaluation of multiple parameters of the pelvic floor.Methods A total of 39 early postpartum women who underwent pelvic floor ultrasound examinations at our hospital were selected.Intelligent pelvic floor ultrasound was used to measure the relevant parameters of the pelvic floor in the bladder lithotomy position and squatting position.Then,we compared the values of pelvic floor parameters between the two groups and the differences in the diagnosis of pelvic organ prolapse.Results 1)In the Valsalva maneuver,the distances of the bladder neck,bladder posterior wall,lowest point of the cervix,and rectocele from the bladder neck stone position are decreased compared to the bladder neck stone position.The urethral inclination angle,bladder neck mobility,anal sphincter hiatus anterior-posterior diameter,left-right diameter,area,and circumference are increased compared to the bladder neck stone position,all with statistical significance(P<0.05);the difference in the bladder posterior angle is not statistically significant(P>0.05);and 2)The diagnostic differences in ultrasound parameters for bladder prolapse between the two positions are statistically significant(P<0.05);however,there is no statistical significance in the diagnostic differences for uterine prolapse between the two positions(P>0.05).Conclusion The differences in multiple parameters of the pelvic floor in two different positions are statistically significant.Compared to the lithotomy position,the squatting position can increase the detection rate of anterior pelvic organ prolapse,while,the advantage in detecting mid-pelvic organ prolapse is not significant.

关 键 词：智能盆底超声检查 膀胱截石位 蹲踞位 盆底参数指标 产后早期 

分 类 号：R714.46[医药卫生—妇产科学] R445.1[医药卫生—临床医学]