分娩方式对女性产后盆底功能的影响

Impact of type of delivery on pelvic floor function in women after delivery

目的研究经阴道分娩(VD)和剖宫产(CS)对于女性产后盆底功能的影响。方法选取该院2013年9月至2015年9月分娩,产后6周和产后6个月复查的120例产妇作为研究对象,其中VD 62例(VD组),CS 58例(CS组)。产后6周和产后6个月行经会阴彩超检查,测量耻骨膀胱角(PVA)和膀胱后角(RVA)。结果产后6周检查静息、咳嗽、Valsalva动作,VD组产妇PVA明显高于CS组产妇;产后6个月检查Valsalva动作,VD组产妇PVA明显高于CS组产妇。产后6个月检查咳嗽、Valsalva动作,VD组产妇RVA明显高于CS组产妇。结论产后在盆底功能的评估方面,PVA比RVA更加灵敏,与VD比较,CS对产后盆底功能影响更小。

Objective To investigate the influence of vaginal delivery（VD）and caesarean section（CS）on pelvic floor function in women after delivery.Methods From September 2013 to September 2015,120 cases of pregnant women who deliver and check 6 weeks and 6 months after delivery in our hospital were selected.Transperineal ultrasound scans were underwent 6 weeks and 6 months after delivery to measure pubovesical angle（PVA）and retrovesical angle（RVA）.Results PVA at rest,during cough and Valsalva manoeuvre was significantly higher in women 6 weeks after VD in comparison with women who had undergone CS.PVA during Valsalva manoeuvre was significantly higher in women 6 months after VD in comparison with women who had undergone CS.RVA during cough and Valsalva manoeuvre was significantly higher in women 6 months after VD in comparison with women who had undergone CS.Conclusion PVA seems to be more sensitive than RVA in evaluating of pelvic floor function.CS cause less influence on pelvic floor function in women after delivery compared to VD.