| 摘要: |
| 目的 经会阴实时三维超声评价产后盆底功能障碍的康复疗效及其应用价值。方法 随机选取2015年7月-2018年1月到我院门诊产后康复中心筛查患有产后盆底功能障碍患者151例，其中经康复中心系统康复治疗的患者79例为研究组未系统康复治疗的患者72例为对照组。应用会阴超声在治疗前（产后6周）和治疗后（产后12周）分别对研究组和对照组患者盆底功能情况进行检测，并对比相关指标。结果 康复治疗前研究组和对照组无明显统计学差异（P＞0.05），康复治疗后（产后12周）研究组患者在静息时、缩肛时、Valsalva动作时的肛提肌裂孔的前后径、左右径以及肛提肌裂孔面积均低于治疗前，高于对照组治疗后；研究组（产后12周）缩肛时的肛提肌厚度高于治疗前，高于对照组，差异有统计学意义（P＜0.05）；产后12周两组患者静息时的肛提肌厚度均无统计学意义（P＞0.05）。结论：经会阴实时三维超声检查可以方便快速评估妇产后盆底功能障碍情况，并可对康复治疗的疗效进行有效评估，值得在临床推广与应用。 |
| 关键词: 经会阴超声 产后盆底功能障碍 康复疗效 肛提肌 |
| DOI： |
| 投稿时间：2018-08-02修订日期：2018-10-07 |
| 基金项目:重庆市卫计委基金项目：建立实时三维超声对盆腔器官脱垂诊断标准的研究（2012-1-076） |
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| Rehabilitation effects of postpartum pelvic floor dysfunction evaluating by transperineal ultrasound and its application values |
| Lin Yun,Ran Suzhen |
| (Chongqing Health Center For Women And Children) |
| Abstract: |
| Objective: To explore Rehabilitation effects of postpartum pelvic floor dysfunction(PFD) evaluating by transperineal ultrasound and its application values Methods: To choose 151 PFD patients randomly in postpartum rehabilitation center from July 2015 to January 2018. 79 patients of those are in research group who get systematic recovery, 72 patients who don’t get systematic recovery are chosen in control group. Detecting pelvic floor function by transperineal ultrasound at pre-treatment and post-treatment selectively, then comparing data correlated. Results: Anteroposterior diameter(APAD)、left-right diameter(RALR) and area of levator hiatus were lower in research group after recovery than before(P＜0.05) and control group(P＜0.05), whenever at rest, after rectum exercise or after valsalva , thickness of levator ani are higher after treatment than before(P＜0.05) and control group(P＜0.05)after rectum exercise. Compared to control group, thickness of levator ani in research group have no change at rest(P＞0.05). Conclusion: transperineal ultrasound can observe the pelvic floor function and evaluate rehabilitation effets.it can be further popularized. |
| Key words: transperineal ultrasound, pelvic floor dysfunction, rehabilitation effect, levator ani |
