医学临床研究
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医学临床研究  2019, Vol. 36 Issue (7): 1262-1263    DOI: 10.3969/j.issn.1671-7171.2019.07.005
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盆底超声检查和盆底肌力评估分析不同分娩方式对女性盆底功能的影响
叶才为
成都市妇女儿童中心医院超声科,四川 成都 610000
Pelvic Floor Ultrasound and Pelvic Floor Muscle Strength Assessment
YE Cai-wei
Department of Ultrasound, Chengdu Women and Children's Center Hospital, Chengdu 610000, China
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摘要 【目的】采用盆底超声检查和盆底肌力评估方法分析不同分娩方式对女性盆底功能的影响。【方法】选取2017年6月至2018年6月本院收治的63例初产妇为本研究对象,根据不同分娩方式将产妇分为剖宫产组(n=33)和自然分娩组(n=30)。另选取同期来我院进行健康体检的女性28例作为对照组。对比两组产妇盆底超声检查与盆底肌力评估指标变化情况,并将其数据与对照组受试者进行对比。【结果】在静息状态下盆底超声检查显示,自然分娩组与剖宫产组的膀胱颈角度、膀胱颈移动度和膀胱旋转角度均明显高于对照组,而自然分娩组又高于剖宫产组,其差异均有显著性(P<0.05);盆底肌力评估结果表明,自然分娩组与剖宫产组盆底肌力持续收缩力与盆底肌力最大收缩力均低于对照组,而自然分娩组又低于较剖宫产组,其差异也具有统计学意义(P<0.05)。【结论】盆底超声机检查与盆底肌力评估在对分娩后产妇压力性尿失禁和器官脱垂有一定的预测价值。
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叶才为
关键词 骨盆底/生理学超声检查肌力    
Abstract【Objective】To explore the effect of different delivery methods on pelvic floor function by pelvic floor ultrasound and pelvic floor muscle strength evaluation. 【Methods】Sixty-three cases of primipara admitted to our hospital from June 2017 to June 2018 were selected as the research object. According to different delivery methods, the puerperas were divided into cesarean section group (n=33) and natural delivery group (n=30). Another 28 women who came to our hospital for health examination in the same period were selected as the control group. The changes of pelvic floor ultrasonography and pelvic floor muscle strength evaluation indexes were compared between the two groups, and the data were compared with those of the control group. 【Results】In resting state, pelvic floor ultrasonography showed that the bladder neck angle, bladder neck mobility and bladder rotation angle of natural delivery group and cesarean section group were significantly higher than those of control group, while those of natural delivery group were higher than those of cesarean section group, the difference was significant (P<0.05). Pelvic floor muscle strength evaluation results showed that natural delivery group and cesarean section group were significantly higher than those of natural delivery group (P<0.05). The persistent contraction force and maximum contraction force of pelvic floor muscle in the uterine delivery group were lower than those in the control group, while those in the natural delivery group were lower than those in the cesarean section group, and the difference was also statistically significant (P<0.05).【Conclusion】Pelvic floor ultrasonography and pelvic floor muscle strength assessment have certain predictive value for postpartum stress urinary incontinence and organ prolapse.
Key wordsPelvic Floor/PH    Ultrasonography    Muscle Strength
收稿日期: 2019-04-02     
PACS:  R681.6  
引用本文:   
叶才为. 盆底超声检查和盆底肌力评估分析不同分娩方式对女性盆底功能的影响[J]. 医学临床研究, 2019, 36(7): 1262-1263.
YE Cai-wei. Pelvic Floor Ultrasound and Pelvic Floor Muscle Strength Assessment. JOURNAL OF CLINICAL RESEARCH, 2019, 36(7): 1262-1263.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.07.005     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I7/1262
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