| 摘要: |
| 目的 应用三维超声探讨影响产后盆底结构变化的相关因素，为产后盆底器官脱垂（POP）的预防提供依据。方法 连续选取在2016年1月～2017年10月我院分娩女性138例为研究对象，对受试对象行三维盆底超声检查，连续观察并记录静息尿道倾斜角、Valsalva膀胱颈位置、Valsalva子宫颈到参考线距离、Valsalva直肠壶腹部到参考线距离、膀胱尿道后角度、尿道倾斜角度、膀胱尿道后角度等指标，分析不同POP超声参数与临床指标的相关性，并探讨相关的影响因素。结果 产妇的孕次、年龄和婴儿体重对POP的影响不大（P ＞0.05）；不同产次的产妇Valsalva子宫颈到参考线距离及膀胱尿道后角度具有统计学意义（P ＜0.05），产次越多，患者Valsalva子宫颈到参考线距离＞15mm发生率升高，膀胱尿道后角（度）也升高；不同体质量指数（BMI）孕妇的静息尿道倾斜角、Valsalva膀胱颈位置、Valsalva子宫颈到参考线距离、Valsalva直肠壶腹部到参考线距离差异均有统计学意义（P＜0.05）；BMI≥25 kg/m2组孕妇的尿道倾斜角度、膀胱尿道后角度等指标的异常率也明显高于BMI＜25 kg/m2组孕妇（P＜0.05）。结论 多产次、高BMI产妇是影响盆底器官脱垂的相关因素，应用盆底超声可动态监测并干预上述患者盆底器官脱垂的发生。 |
| 关键词: 妊娠 盆腔脱垂 超声检查 |
| DOI： |
| 投稿时间：2019-05-08修订日期：2019-07-11 |
| 基金项目: |
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| The study on the related factors of postpartum organ prolapse in pregnant women by three-dimensional ultrasound |
| chenhaiyan |
| () |
| Abstract: |
| Objective To investigate the factors affecting the structure of postpartum pelvic floor by three-dimensional ultrasound and to provide evidence for the prevention of postpartum pelvic organ prolapse (POP). Methods A total of 138 women giving birth in our hospital from January 2016 to October 2017 were selected. Three-dimensional ultrasound examination was performed on the subjects. The resting urethral tilt angle, Valsalva bladder neck position, Valsalva were continuously observed. The correlation between different POP ultrasound parameters and clinical indicators were analyzed. Results The maternal pregnancy, age and infant weight had little effect on POP (P > 0.05). The distance of valvular vaginal to reference line and bladder posterior urethral angle were statistically significant among the subjects with different production times (P <0.05). The more births, the higher the incidence of Valsalva cervix to the reference line >15mm and the bigger the posterior angle of the bladder urethra (degree); the resting urethral tilt angle, the position of Valsalva bladder neck, the distance of Valsalva cervix to reference line and the distance of Valsalva rectal ampulla to the reference line were statistically significant among pregnant women with different body mass index (BMI) (P<0.05); the urethral tilt angle and the abnormal rate of bladder urethral angle of the pregnant women with BMI ≥25 kg/m2 were significantly higher than those of pregnant women with BMI <25 kg/m2 (P<0.05). Conclusions Prolific secondary and high BMI are related factors affecting pelvic floor organ prolapse. The pelvic floor ultrasound can dynamically monitor and intervene in the occurrence of pelvic floor organ prolapse. |
| Key words: Pregnancy Pelvic prolapse Ultrasonography |
