| 摘要: |
| 【】目的：探讨经会阴四维超声成像对产后盆底功能障碍性疾病(PFD)中的应用价值。方法：回顾性选取2016年3月至2017年3月我院确诊治疗的产后PFD产妇84例作为A组,同期选取产后无PFD产妇80例作为B组,所有产妇均给予静息、Valsalva(屏气向下用力)动作状态下经会阴四维超声成像检查。结果：A组静息、Valsalva动作状态下盆膈裂孔前后径(LHAP)、左右径(LHLR)、面积(LHA)和左、右肛提肌厚度(LT)水平明显高于B组,差异有统计学意义(P<0.05)；经会阴四维超声成像诊断产后PFD的敏感度、特异度、准确度分别为95.24%、92.50%、93.90%,与实际结果比较,差异无统计学意义(P>0.05)。结论：产妇静息、Valsalva动作状态下LHAP、LHLR、LHA和左、右LT与产后PFD发生有关,经会阴四维超声成像检查盆膈裂孔及肛提肌形态学特征有利于及早准确发现产后PFD发生。 |
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| DOI： |
| 投稿时间：2017-06-22修订日期：2017-07-13 |
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| aApplication value of perinel four dimensional ultrasound imaging for postpartum pelvic floor dysfunction |
| Cao Xiaoyan |
| () |
| Abstract: |
| 【S】objective:To discuss the application value of perineal four dimensional ultrasound imaging for postpartum pelvic floor dysfunction(PFD).Methods: 84 puerpera with postpartum PFD were selected as group A from Match 2016 to Match in our Hospital,80 puerpera with no postpartum PFD were selected as group B at the same time,all puerperas were given perineal four dimensional ultrasound imaging under the quiet, Valsalva (breath-holding) motion.Results:The levator hiatal area(LHA),levator hiatal lateral pathway(LHLP),levator hiatal anteroposterior pathway(LHAP) and left, righ levatort thickness(LT) ,levels of group A were significantly higher than those of group B, the difference was statistically significant (P < 0.05).The diagnosis of postpartum perineal PFD sensitivity, specific and accuracy by perineal four dimensional ultrasound imaging were 95.24%,92.50%,95.24%,when it compared with the actual result, there was no statistically significant difference (P > 0.05).Conclusions:The maternal dLHAP、LHLR、LHA and left, righ LT are associated with postpartum PFD occurs under the quiet, Valsalva (breath-holding) motion,the diaphragmatic hiatus and anal muscle morphological features are checked by perineal four dimensional ultrasound imaging,which is conducive to accurately identify postpartum PFD happen as early as possible. |
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