本文關鍵詞： 盆底 超聲檢查 分娩　出處：《中國醫(yī)學影像技術》2017年03期 　論文類型：期刊論文

【摘要】：目的采用經會陰三維超聲探討陰道分娩中不同助產方式對婦女盆底功能的影響。方法選取經陰道分娩的產婦84名,按助產方式的不同分為會陰完整組32例、會陰側切組30例、產鉗助產組22例。分別獲得靜息狀態(tài)、瓦氏動作和縮肛動作時盆隔裂孔圖像,比較3組婦女產后盆隔裂孔前后徑和面積的差異。結果會陰完整組和會陰側切組于靜息狀態(tài)、瓦氏動作和縮肛動作時盆隔裂孔的前后徑、面積差異均無統(tǒng)計學意義(P均0.05)。會陰完整組和產鉗助產組在靜息狀態(tài)、瓦氏動作和縮肛動作時的盆隔裂孔前后徑、面積,靜息—瓦氏和靜息—縮肛時盆隔裂孔改變面積差異均有統(tǒng)計學意義(P均0.05)。結論產鉗對盆底功能的損傷大于自然陰道分娩,陰道分娩中,是否會陰切開對盆底功能損傷無明顯差異。
[Abstract]:Objective to study the effects of different midwifery modes on pelvic floor function of women in vaginal delivery by transperineal three-dimensional ultrasound. Methods 84 parturient women who were delivered by vagina were divided into perineum complete group (32 cases) and perineal lateral resection group (30 cases). Twenty-two cases in the forceps assisted labor group were given the images of pelvic septum in resting state, Watt's motion and anus contraction, respectively. The difference of the diameter and area of the postpartum pelvic fissure was compared among the 3 groups. Results the perineum intact group and perineal lateral incision group were in resting state. There was no significant difference in the anteroposterior diameter and area of the pelvic septal hole between the two movements (P < 0.05). The perineum intact group and the midwifery group were in the resting state, the anterior and posterior diameter and area of the pelvic septal hole in the Watts movement and the anus contraction movement, and the area of the pelvic septal hole in the perineum intact group and the labor forceps midwifery group. There were statistically significant differences in the area of pelvic septum between resting and receding sphincter (P < 0.05). Conclusion the damage of forceps to pelvic floor function is greater than that of natural vaginal delivery. There was no significant difference between perineal incision and pelvic floor function injury.
【作者單位】： 中國醫(yī)科大學附屬盛京醫(yī)院超聲科;
【分類號】：R714.3

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本文編號：1519833