| 刘丽娜,李文娟,霍 华,王晓庆,林岱华.经会阴二维超声对自然分娩女性产后盆底三腔室运动和早期盆底功能的评估价值[J].,2020,(16):3078-3081 |
| 经会阴二维超声对自然分娩女性产后盆底三腔室运动和早期盆底功能的评估价值 |
| The Evaluation Value of Transperineal Two-dimensional Perineal Ultrasound on Three-compartment Movement and Early Pelvic Floor Function of Postpartum Women with Natural Delivery |
| 投稿时间：2019-11-27 修订日期：2019-12-23 |
| DOI：10.13241/j.cnki.pmb.2020.16.016 |
| 中文关键词: 自然分娩 二维超声 三腔室 盆底功能 评估 |
| 英文关键词: Natural delivery Two-dimensional ultrasound Three-compartment movement Pelvic floor function Evaluation |
| 基金项目:广东省医学科学技术研究基金项目（B20171487） |
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| 中文摘要: |
| 摘要 目的：探讨经会阴二维超声对自然分娩女性产后盆底三腔室运动和早期盆底功能的评估价值。方法：选取2019年2月～2019年7月于我院进行自然分娩的产妇284例作为研究组，另选取同期于我院接受诊治的未育女性200例作为对照组。两组均进行经会阴二维超声检查，比较两组静息期、张力期、缩肛期的肛管直肠连接部（ARJ）、宫颈外口（CV）、尿道膀胱连接部（UVJ）的位置及运动变化情况，对比两组静息状态下以及最大Valsaval动作下盆底超声参数。结果：研究组静息期、张力期、缩肛期的CV距离水平参照线的垂直长度（CV-VD）、UVJ距离水平参照线的垂直长度（UVJ-VD）均低于对照组（均P＜0.05）。研究组张力期对应静息期垂直长度△r-sCV-VD、△r-sUVJ-VD均高于对照组，而缩肛期对应静息期垂直长度△r-sCV-VD、△r-sUVJ-VD均低于对照组（均P＜0.05）。研究组静息状态下膀胱颈位置（BNP）低于对照组，而膀胱尿道后角（PUA）高于对照组（均P＜0.05）；研究组最大Valsaval动作下膀胱颈移动度（BND）、PUA、尿道旋转角（URA）均高于对照组（均P＜0.05）。结论：经会阴二维超声可对自然分娩女性产后盆底三腔室运动和早期盆底功能进行有效观察，有助于评估女性盆底结构、功能变化，具有一定的临床推广应用价值。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the evaluation value of two-dimensional perineal ultrasound on three-compartment movement and early pelvic floor function of postpartum women with natural delivery. Methods: 284 women who gave birth naturally in our hospital from February 2019 to July 2019 were selected as the study group, and 200 women who did not give birth to gynecological diseases during the same period were selected as the control group. Transperineal two-dimensional ultrasound examination was performed between the two groups, the position and movement changes of anorectal junction (ARJ), cervical mouth outside (CV), urethral vesica junction (UVJ) during resting period, tension period and anal contraction period were compared between the two groups. The pelvic floor ultrasound parameters under resting state and maximum Valsaval action were compared between the two groups. Results: The vertical length of CV distance from horizontal reference line (CV-VD) and UVJ distance from horizontal reference line (UVJ-VD) in the study group during resting period, tension period and anal contraction period were lower than those in the control group (all P＜0.05). The vertical lengths of △r-sCV-VD and △r-sUVJ-VD in the study group during tension period corresponds to resting period were higher than those in the control group, while the vertical lengths of △r-sCV-VD and △r-sUVJ-VD in the study group during anal contraction period corresponds to resting period were lower than those in the control group (all P＜0.05). The bladder neck position (BNP) in the study group in resting state was lower than that in the control group, but the posterior urethravesical angel (PUA) was higher than that in the control group (all P＜0.05). The maximum Valsaval movement of bladder neck descent (BND), PUA and urethral rotation angel (URA) in the study group were all higher than those in the control group (all P＜0.05). Conclusion: Transperineal two-dimensional ultrasound can effectively observe the postpartum pelvic floor movement and early pelvic floor function of women in natural delivery. It is helpful to evaluate the changes of pelvic floor structure and function, and it has certain clinical application value. |
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