摘要
目的探讨四维盆底超声在初产妇盆底功能障碍性疾病中的应用效果。方法选择2017年10月至2018年12月该院盆底功能障碍性疾病初产妇患者96例,根据产妇分娩方式不同分为剖宫产组(n=35)与阴道分娩组(n=61)。两组入院后均采用四维盆底超声完成盆底检查,从正中矢状面、三维重建面分别在患者静息、屏气下用力及肛门收缩状态下观察超声下膀胱尿道、盆膈裂孔情况,在超声下测定膀胱颈至耻骨联合下缘的距离(BSD),并计算膀胱颈移动度、尿道膀胱后角及尿道旋转角度;采用膀胱膨出Green分型进行分型。结果剖宫产组Green分型中Ⅱ型及Ⅲ型率均低于阴道分娩组(P<0.05);剖宫产组Green分型Ⅰ型率高于阴道分娩组(P<0.05);剖宫产组与阴道分娩组静止状态BSD及尿道膀胱后角比较差异均无统计学意义(P>0.05);剖宫产组Valsalva期BSD、尿道膀胱后角,膀胱颈移动度、尿道旋转角,均低于阴道分娩组(P<0.05)。结论将四维盆底超声用于初产妇盆底功能障碍性疾病中能显示产妇盆腔、了解产妇分娩后膀胱膨出情况。
Objective To investigate the effect of four-dimensional pelvic floor ultrasound on pelvic floor dysfunction in primiparas.Methods Ninety-six primiparas with pelvic floor dysfunction from October2017 to December 2018 were selected.They were divided into the cesarean section group(n=35)and the vaginal delivery group(n=61)according to the delivery.After hospitalized,they all received pelvic floor examination by four-dimensional pelvic floor ultrasound.From the median sagittal plane and the three-dimensional reconstruction surface,the bladder urethra and pelvic fistula were observed under the condition of resting,holding force and anal contraction.The bladder neck symphyseal distance(BSD)for bladder neck mobility,the posterior urethral urethra and the urethral rotation angle were measured under ultrasound.The two groups were classified by Bladder Green.Results The rates of Green typeⅡand typeⅢin the cesarean section group were lower than those in the delivery group(P<0.05).The rate of Green typeⅠin the cesarean section was higher than that in the vaginal delivery group(P<0.05).There was no significant difference between the cesarean section group and the vaginal delivery group in BSD and the urethral bladder posterior angle during the quiescent period(P>0.05).BSD,urethral bladder posterior angle,bladder neck mobility,urethral rotation angle during the tension period were lower in the cesarean section group than the vaginal delivery group(P<0.05).Conclusion The four-dimensional pelvic floor ultrasound in primiparas pelvic floor dysfunction can show the pelvic cavity,and help to understand the bladder bulging after delivery.
作者
王莹
鲁虹霞
冯桂婷
WANG Ying;LU Hongxia;FENG Guiting(Department of Ultrasound,the Affiliated Baoan Hospital of Southern Medical University,Shenzhen,Guangdong 518100,China)
出处
《重庆医学》
CAS
2020年第10期1669-1671,1676,共4页
Chongqing medicine
关键词
盆底疾病
四维盆底超声
初产妇
Green分型
pelvic floor disorders
four-dimensional pelvic floor ultrasound
primipara
Green typing
