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

doi:10.3969/j.issn.1671-7171.2024.02.017

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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 words： Pelvic Floor/PH Postpartum Period Pelvis/DG

Received: 17 November 2022

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R714.6

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	Articles by authors
	YANG Xiaoyu
	WEI Shirong
	XUE Xiaoguang
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Cite this article:

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[J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(2): 218-221.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2024.02.017 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2024/V41/I2/218

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