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| Application of Perineal Three-Dimensional Ultrasound Examination in Postpartum Pelvic Floor Function Evaluation |
| LIU Qingping, MA Jing |
| Department of Ultrasound, Xi'an Jiren Hospital, Xi'an Shaanxi 710300 |
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Abstract 【Objective】To evaluate the application of three dimensional transperineal ultrasonography in the prediction of pelvic floor function in parturient during vaginal delivery. 【Methods】A total of 80 vaginal parturient who gave birth in Xi 'an Jiren Hospital from January 2021 to January 2023 were selected as the study objects. They were divided into normal group (n=63) and disabled group (n=17) according to whether they had pelvic floor dysfunction after delivery. Pelvic floor muscle tension indices [vaginal resting pressure (VRP), vaginal systolic pressure (VSP) and duration of vaginal contraction] and urethral function indices (functional urethral length and maximum urethral closing pressure) were measured in both groups. The parameters related to pelvic floor function [bladder neck position (BNP), bladder neck mobility (BND)] in resting state and maximum Valsalva state were detected by transperineal three-dimensional ultrasound, and the evaluation value of pelvic floor dysfunction in puerperal parturient was analyzed by receiver operating characteristic (ROC) curve. 【Results】The pelvic floor muscle tension and urethral function indexes of the normal group were significantly better than those of the disabled group (P<0.05), and the relevant parameters of the pelvic floor function were significantly different between the two groups (P<0.05). ROC curve analysis results showed that the area under the curve of BNP, BND alone and combined assessment of postpartum pelvic floor dysfunction were all > 0.7, which had a certain evaluation value, and the combined assessment effect was the best. 【Conclusion】Three-dimensional perineal ultrasonography is of high clinical value in evaluating pelvic floor function of parturient after vaginal delivery.
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Received: 18 September 2023
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2024, Vol. 41 
