医学临床研究
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医学临床研究  2024, Vol. 41 Issue (2): 218-221    DOI: 10.3969/j.issn.1671-7171.2024.02.017
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盆腔超声测量参数对初产妇产后发生早期盆底功能障碍的预测价值
杨晓宇1, 魏世荣1, 薛晓光2, 邓召亮3*
1.宝鸡市妇幼保健院超声医学科,陕西 宝鸡 721000;
2.西安医学院附属宝鸡医院超声医学科,陕西 宝鸡 721000;
3.石泉县中医医院超声科,陕西 安康 725200
The Predictive Value of Pelvic Ultrasound Measurement Parameters for Early Pelvic Floor Dysfunction in Primiparous Women after Delivery
YANG Xiaoyu, WEI Shirong, XUE Xiaoguang, et al
Department of Ultrasonic Medicine, Baoji Maternal and Child Health Hospital, Baoji Shaanxi 721000
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摘要 【目的】探讨盆腔超声测量参数对初产妇产后发生早期盆底功能障碍的预测价值。【方法】收集2018年2月至2021年2月在宝鸡市妇幼保健院分娩的82例初产妇的临床资料,按照分娩方式不同将其分为自然分娩组(n=40)和剖宫产组(n=42)。根据生产1年内是否发生盆底功能障碍分为障碍组及正常组,自然分娩组可分为障碍组(n=17)和正常组(n=23);剖宫产组中可分为障碍组(n=13)和正常组(n=29)。所有研究对象均于产前及产后6~8周行超声检查,比较盆腔超声参数膀胱尿道后角(PUA)、膀胱颈移动度 (BND)、尿道旋转角(URA)、逼尿肌厚度(DwT)及肛提肌裂口面积(LHA),采用受试者工作特征(ROC)曲线分析盆腔超声测量参数对初产妇产后发生早期盆底功能障碍的预测价值。【结果】自然分娩组及剖宫产组产后BND、URA、DwT、静息PUA、瓦式PUA、静息LHA、瓦式LHA均高于产前(P<0.05);自然分娩及剖宫产产后障碍组BND、URA、静息LHA、瓦式LHA高于正常组(P<0.05); ROC曲线分析结果显示: BND、URA、静息LHA、瓦式LHA可用于初产妇自然分娩后及剖宫产后发生早期盆底功能障碍的预测,曲线下面积分别为0.923、0.872、0.854、0.885及0.936、0.817、0.975、0.916。【结论】盆腔超声参数对初产妇产后发生早期盆底功能障碍均具有较高的预测价值,对预防初产妇产后发生盆底功能障碍具有积极意义。
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杨晓宇
魏世荣
薛晓光
邓召亮
关键词 骨盆底/生理学产后期骨盆/影像诊断    
Abstract:【Objective】To explore the predictive value of pelvic ultrasound measurement parameters for early pelvic floor dysfunction in primiparous women after delivery.【Methods】 Clinical data of 82 primiparous women who gave birth in Baoji Maternal and Child Health Hospital from February 2018 to February 2021 were collected. They were divided into natural delivery group (n=40) and cesarean section group (n=42) according to different delivery methods. According to whether pelvic floor dysfunction occurred within one year of production, the natural childbirth group can be divided into the dysfunction group (n=17) and the normal group (n=23); The cesarean section group can be divided into the obstructed group (n=13) and the normal group (n=29). All study subjects underwent ultrasound examination before delivery and 6-8 weeks postpartum. Pelvic ultrasound parameters such as bladder urethral posterior angle (PUA), bladder neck mobility (BND), urethral rotation angle (URA), detrusor muscle thickness (DwT), and levator ani muscle rupture area (LHA) were compared. Receiver operating characteristic (ROC) curves were used to analyze the predictive value of pelvic ultrasound measurement parameters for early pelvic floor dysfunction in primiparous women after delivery. 【Results】Postpartum BND, URA, DwT, resting PUA, tile PUA, resting LHA, and tile LHA were all higher in the natural delivery group and cesarean section group than before delivery (P<0.05);The BND, URA, resting LHA, and tile LHA in the postpartum disorders group after natural delivery and cesarean section were higher than those in the normal group (P<0.05); The ROC curve analysis results show that BND, URA, resting LHA, and tile LHA can be used to predict early pelvic floor dysfunction in primiparous women after natural delivery and cesarean section, with areas under the curves of 0.923, 0.872, 0.854, 0.885, and 0.936, 0.817, 0.975, and 0.916, respectively. 【Conclusion】Pelvic ultrasound parameters have high predictive value for early pelvic floor dysfunction in primiparous women after delivery, and have positive significance in preventing pelvic floor dysfunction in primiparous women after delivery.
Key wordsPelvic Floor/PH    Postpartum Period    Pelvis/DG
收稿日期: 2022-11-17     
中图分类号:  R714.6  
通讯作者: *E-mail:dengzhl750@163.com   
引用本文:   
杨晓宇, 魏世荣, 薛晓光, 邓召亮. 盆腔超声测量参数对初产妇产后发生早期盆底功能障碍的预测价值[J]. 医学临床研究, 2024, 41(2): 218-221.
YANG Xiaoyu, WEI Shirong, XUE Xiaoguang, et al. The Predictive Value of Pelvic Ultrasound Measurement Parameters for Early Pelvic Floor Dysfunction in Primiparous Women after Delivery. JOURNAL OF CLINICAL RESEARCH, 2024, 41(2): 218-221.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.02.017     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I2/218
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