四维盆底超声对初产妇盆底功能障碍诊断中的应用价值研究

Application Value of four-dimensional Pelvic Floor Ultrasound in the Diagnosis of Pelvic Floor Dysfunction in Primary Women

目的分析四维盆底超声对初产妇盆底功能障碍诊断中的应用价值。方法本文总共纳入50例观察对象,皆是2021年3月-2022年1月来中山市阜沙医院产后复查的初产妇,按照分娩方法进行分组,分为对照组(剖宫产,n=25)与研究组(阴道分娩,n=25),两组初产妇均进行四维盆底超声检查,对比分析两组的检查情况。结果在动作状态下的BND、尿道膀胱后角、肛提肌裂孔长度以及最大面积、膀胱颈旋转角度、尿道旋转角上,两组对比差异有统计学意义(P<0.05)。在Green分型、阴道前壁脱垂、直肠前壁膨出、压力性尿失禁以及肛提肌撕裂的检出率上,研究组优于对照组(P<0.05);在子宫脱垂的检出率上,研究组略高于对照组(P>0.05)。结论四维盆底超声用于初产妇盆底功能障碍的诊断价值显著,能够清楚观察初产妇的盆腔结构,有利于了解初产妇产后盆底肌群的功能,为临床诊断初产妇产后盆底功能障碍提供依据,临床可进一步推广应用。

Objective To analyze the application value of four-dimensional pelvic floor ultrasound in the diagnosis of pelvic floor dysfunction in primary women.Methods 50 cases of observation,all from March 2021 to January 2022,were divided into control group(cesarean section,n=25)and research group(vaginal delivery,n=25),2 groups conducted four-dimensional pelvic floor ultrasound examination and compared the examination of the two groups.Results In the posterior bladder angle,Anal muscle fissure length,bladder neck rotation angle,the two groups were greatly(P<0.05).The group outperformed the controls in Green typing,anterior vaginal wall prolapse,anterior rectal wall enlargement,stress urinary incontinence,and anal lift muscle tear(P<0.05)and slightly higher than the controls(P>0.05).Conclusion Four-dimensional pelvic floor ultrasound is used in the diagnosis of pelvic floor dysfunction,which can clearly observe the pelvic structure,is conducive to understand the function of the postpartum pelvic floor muscle mass,and provide a basis for the clinical diagnosis of postpartum pelvic floor dysfunction,which can be further promoted and applied clinically.