经会阴盆底超声检查评估不同分娩方式对女性盆底功能的影响

Evaluation of the effect of different delivery methods on female pelvic floor function by transperineal pelvic floor ultrasound examination

目的观察经会阴盆底超声检查评估不同分娩方式对女性盆底功能的影响。方法随机选取我院2018年3月~2019年3月就诊的104例分娩后女性和100例健康志愿者为观察对象,分为观察组和对照组,再按照不同分娩方式分为经阴道分娩组(36例)和剖宫产分娩组(68例),分析对比观察组和对照组之间的经会阴盆底超声检查各项数据,分析不同分娩方式女性产后6周经会阴盆底超声检查各项数据。结果分娩后女性产后漏尿发生率与膀胱脱垂发生率明显高于健康志愿者(P<0.05)。经阴道分娩女性漏尿发生率与膀胱脱垂发生率明显高于剖宫产分娩女性(P<0.05)。结论分娩对盆底组织的功能影响显著,尤其是对于经阴道分娩女性;对于分娩后女性应及时行经会阴盆底超声检查,及时发现盆底结构损伤,并尽早进行产后康复治疗。

Objective To observe the effect of transperineal pelvic floor ultrasound examination on female pelvic floor function by different delivery methods.Methods 104 postpartum women and 100 healthy volunteers who were treated in our hospital from March 2018 to March 2019 were divided into observation group and control group.According to different delivery methods,they were divided into transvaginal delivery group(36 cases)and cesarean section delivery group(68 cases).The data of transperineal pelvic floor ultrasound examination between the observation group and the control group were analyzed and compared.The data of transperineal pelvic floor ultrasound examination at 6 weeks after delivery were analyzed.Results The incidence of postpartum leakage and bladder prolapse in women after delivery was significantly higher than that in healthy volunteers(P<0.05).The incidence of urinary leakage and bladder prolapse in women with transvaginal delivery was significantly higher than that in women with cesarean section(P<0.05).Conclusion Delivery has a significant effect on the function of pelvic floor tissue,especially for women with transvaginal delivery.For women after delivery,timely transperineal pelvic floor ultrasound should be examined,pelvic floor structure injury should be found in time,and postpartum rehabilitation should be carried out as soon as possible.