盆底超声对产妇产后初期膀胱膨出的诊断价值

Diagnostic Value of Pelvic Floor Ultrasound in Early Postpartum Cystocele of Puerperae

目的 探讨盆底超声在产妇产后初期膀胱膨出中的诊断价值。方法 选择2019年4月至2021年4月我院收治的产后初期膀胱膨出产妇86例为研究组,同期32例产后健康产妇为对照组。产后1 d,两组均在静息、 Valsalva状态下进行盆底超声检查。比较两组静息和Valsalva状态下的泌尿裂孔前后径(AP)、左右径(LR)、面积(A)、肛提肌厚度(LT),比较两组的膀胱颈移动度(BND)及尿道旋转角(URA)。结果 研究组静息、 Valsalva状态下的泌尿裂孔AP、 LR、 A、 LT均大于对照组(P<0.05)。研究组的BND、 URA均大于对照组(P<0.05)。结论 盆底超声能够有效评估产妇产后泌尿裂孔和肛提肌的结构、功能,为产妇产后初期膀胱膨出的筛查和诊断提供参考。

Objective To explore the diagnostic value of pelvic floor ultrasound in puerperae with early postpartum cystocele.Methods A total of 86 puerperae with early postpartum cystocele admitted to our hospital from April 2019 to April 2021 were selected as the study group, and 32 postpartum healthy women at the same period were selected as the control group. One day after delivery, both groups underwent pelvic floor ultrasound examination in resting state and Valsalva state. The anterior and posterior diameter(AP), left and right diameter(LR), area(A), and levator ani muscle thickness(LT) of the urinary hiatus were compared between the two groups in resting state and Valsalva state. The bladder neck mobility(BND) and urethral rotation angle(URA) were compared between the two groups. Results In resting state and Valsalva state, the AP, LR, A and LT of the urinary hiatus in the study group were higher than those in the control group(P<0.05). The BND and URA in the study group were higher than those in the control group(P <0.05). Conclusions Pelvic floor ultrasound can effectively evaluate the structure and function of postpartum urinary hiatus and levator ani muscle, and provide reference for the screening and diagnosis of early postpartum cystocele.