本文選題：三維超聲 + 盆底　； 參考：《四川大學學報(醫(yī)學版)》2016年02期

【摘要】：目的應用經(jīng)會陰三維超聲研究不同分娩方式產(chǎn)后女性盆膈裂孔形態(tài)變化以及下尿路膀胱頸移動度,以評估產(chǎn)后早期女性盆底恢復情況。方法對170例初產(chǎn)婦(分為經(jīng)陰道分娩及剖宮產(chǎn))及35例已婚未育女性進行盆底超聲檢查,獲得靜息、Valsalva及縮肛時人體盆底正中矢狀切面及盆底軸切面重建圖像,測量一系列生物參數(shù)。結(jié)果產(chǎn)后6~8周在縮肛狀態(tài)下經(jīng)陰道分娩組盆膈裂孔縱徑測值大于未育組(P0.05);而剖宮產(chǎn)組盆膈裂孔參數(shù)與未育組間比較差異無統(tǒng)計學意義(P0.05)。膀胱頸移動度在Valsalva時表現(xiàn)為經(jīng)陰道分娩者大于剖宮產(chǎn)組及未育組(P0.05),而剖宮產(chǎn)組僅背側(cè)運動大于未育組(P0.05)。產(chǎn)后6~8周剖宮產(chǎn)組壓力性尿失禁發(fā)生率4.5%(3/66),經(jīng)陰道分娩組壓力性尿失禁發(fā)生率9.6%(10/104),而兩者間差異無統(tǒng)計學意義(P0.05)。結(jié)論經(jīng)陰道分娩后產(chǎn)婦盆底組織結(jié)構(gòu)改變較剖宮產(chǎn)者明顯。膀胱頸移動度及盆膈裂孔縱徑是評估盆底肌收縮能力的重要指標,且后者更敏感,可以作為觀察產(chǎn)后盆底肌恢復與否的觀察指標。
[Abstract]:Objective To evaluate the changes of pelvic floor and bladder neck movement of female pelvic floor under different delivery methods by means of three - dimensional echocardiography . The results showed that there was no significant difference between the normal sagittal section and the unfertile group ( P0.05 ) . The results showed that there was no significant difference in the pelvic floor tissue structure between 6 and 8 weeks after cesarean section ( P0.05 ) .

【作者單位】： 四川大學華西第二醫(yī)院超聲科;
【分類號】：R445.1;R714.6
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本文編號：1743567