产时会阴侧切对女性盆底功能的影响探讨

Effect of episiotomy during labor on female pelvic floor function

目的:探讨会阴侧切术对阴道分娩初产妇产后盆底功能的影响。方法:选取2017年3~6月我院产后康复中心进行产后6~8周盆底功能检查产妇136例。其中,会阴侧切组65例,非侧切组71例,比较两组产妇在产后42 d压力性尿失禁、盆腔脏器脱垂、会阴疼痛的发生率与盆底肌力筛查结果。结果:两组产妇压力性尿失禁、盆底脏器脱垂、盆底肌力筛查差异均无统计学意义(P>0.05);会阴侧切组切口疼痛明显高于非侧切组,差异有统计学意义(P<0.05)。结论:会阴侧切不能改善产妇的盆底功能障碍,反而还会引起产后疼痛,应结合会阴条件,严格掌握侧切指征。

Objective： To explore the effect of episiotomy on pelvic floor function in primipara after vaginal delivery. Methods： A total of 136 lying-in women were selected,who received postpartum 6-8 weeks pelvic floor function examination at the rehabilitation center of our hospital from March to June2017. They were divided into episiotomy group of 65 cases and non-episiotomy group of 71 cases. The stress incontinence,pelvic organ prolapse and perineal pain incidence and pelvic floor muscle strength screening results were compared 42 days postpartum. Results： The differences of the stress incontinence,pelvic organ prolapse,and pelvic floor muscle strength screening results were not statistically significant（ P〈0. 05）. The ache of episiotomy group was obviously more than the non-episiotomy group,and the differences were statistically significant（ P〈0. 05）. Conclusion： Episiotomy cannot improve the pelvic floor dysfunction of lying-in women,instead,it can cause postpartum pain. Lateral episiotomy indication should be observed closely combined with perineal conditions.