经会阴四维超声在经产妇盆底康复治疗中的临床应用

Clinical Application of Transperineal Four-dimensional Ultrasound in Pelvic Floor Rehabilitation of Midwives

目的探讨经会阴四维超声在经产妇盆底康复治疗中评估应用价值。方法方便选取2018年1-12月该院诊治盆底功能障碍经产妇80例进行研究,用随机分组表法分为实验组(电刺激联合生物反馈康复治疗)和对照组(自然恢复)各40例,两组患者在产后第6周及产后第12周分别进行经会阴四维超声检查,比较治疗前后患者在平静呼吸和Valsalva动作时肛提肌厚度、膀胱颈移动度、膀胱尿道后角、盆膈裂孔面积。结果治疗后膀胱颈移动度、膀胱尿道后角、盆膈裂孔面积实验组在平静呼吸下分别是:(2.11±0.35)cm、(122.4±21.1)°、(13.2±1.3)cm^2,明显低于对照组,差异有统计学意义(t=0.629、2.552、3.703,P<0.05)在Valsalva动作下分别是(2.19±0.38)cm、(137.6±31.5)°、(23.3±3.6)cm^2,明显低于对照组,差异有统计学意义(t=0.116、2.022、4.647,P<0.05)。结论经会阴四维超声在经产妇盆底康复治疗中应用,能有效反映患者盆底康复治疗效果。

Objective To explore the application value of transperineal four-dimensional ultrasound in the pelvic floor rehabilitation treatment of postpartum women. Methods 80 cases of transvaginal women with pelvic floor dysfunction treated in the hospital from January 2018 to December 2018 were conveniently selected for the study. They were randomLy divided into experimental group(electrical stimulation combined with biofeedback rehabilitation therapy) and control group(natural recovery), 40 cases in each group. Four-dimensional transperineal ultrasonography was performed in the 6 th week and 12 th week of postpartum respectively. The levator ani muscle thickness, bladder neck mobility, posterior horn of bladder and urethra, and pelvic diaphragm hole area were compared before and after treatment. Results After treatment, the bladder neck mobility, the posterior horn of bladder urethra and the area of pelvic diaphragm hole in the experimental group were(2.11 ±0.35)cm,(122.4 ±21.1)°, (13.2 ±1.3)cm^2 under quiet breathing, which were significantly lower than those in the control group,the difference was statistically significant(t=0.629, 2.552, 3.703, P<0.05) and were(2.19±0.38)cm,(137.6±31.5)°,(23.3±3.6)cm^2, respectively, which were significantly lower than those in the Valsalva group. The control group,the difference was statistically significant(t=0.116, 2.022, 4.647, P<0.05). Conclusion The application of transperineal fourdimensional ultrasound in the treatment of pelvic floor rehabilitation of postpartum women can effectively reflect the therapeutic effect of pelvic floor rehabilitation.