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[1]陳丹,王玉蘭,黃玉珍.經(jīng)會(huì)陰盆底超聲評(píng)估胎次對(duì)早期產(chǎn)后婦女肛提肌裂孔的影響[J].福建醫(yī)藥雜志,2024,46(07):5-8.[doi:10.20148/j.fmj.2024.07.002]
　CHEN Dan,WANG Yulan,HUANG Yuzhen.Evaluation of effect of parity on levator ani hiatus in early postpartum women by transperineal pelvic floor ultrasound[J].FUJIAN MEDICAL JOURNAL,2024,46(07):5-8.[doi:10.20148/j.fmj.2024.07.002]
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經(jīng)會(huì)陰盆底超聲評(píng)估胎次對(duì)早期產(chǎn)后婦女肛提肌裂孔的影響()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
46
期數(shù):
2024年07期
頁碼:
5-8
欄目:
臨床研究
出版日期:
2024-11-20

文章信息/Info

Title:
Evaluation of effect of parity on levator ani hiatus in early postpartum women by transperineal pelvic floor ultrasound
文章編號(hào):
1002-2600(2024)07-0005-04
作者:
陳丹; 王玉蘭; 黃玉珍
福建省福州市長樂區(qū)人民醫(yī)院超聲科,福州 350004
Author(s):
CHEN Dan;  WANG Yulan;  HUANG Yuzhen
Department of Ultrasound, Changle District People's Hospital, Fuzhou, Fujian 350004, China
關(guān)鍵詞:
經(jīng)會(huì)陰盆底超聲;  胎次;  肛提肌裂孔擴(kuò)張;  盆腔臟器脫垂
Keywords:
transperineal pelvic floor ultrasound;  parity;  levator ani hiatus dilation;  pelvic organ prolapse
分類號(hào):
R455.1
DOI:
10.20148/j.fmj.2024.07.002
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 應(yīng)用經(jīng)會(huì)陰盆底超聲評(píng)估產(chǎn)后婦女肛提肌裂孔的大小,分析不同胎次對(duì)其的影響,探討胎次增加與肛提肌裂孔擴(kuò)張之間的關(guān)系,以及對(duì)盆腔器官脫垂風(fēng)險(xiǎn)的潛在影響。方法 回顧性收集了809例產(chǎn)后婦女的臨床數(shù)據(jù),根據(jù)胎次分為3組:一胎次組(328例)、二胎次組(340例)和三胎次組(141例)。使用經(jīng)會(huì)陰盆底超聲技術(shù),在靜息和Valsalva動(dòng)作兩種狀態(tài)下,對(duì)參與者肛提肌裂孔的前后徑(LHA)、左右徑(LHD)和面積(HA)進(jìn)行測量,并計(jì)算與靜息狀態(tài)相比,Valsalva動(dòng)作下各參數(shù)的變化值(ΔLHA、ΔLHD、ΔHA),然后對(duì)這些參數(shù)進(jìn)行組間比較。結(jié)果(1)肛提肌裂孔參數(shù)變化:在靜息和Valsalva動(dòng)作兩種狀態(tài)下,隨著胎次的增加,肛提肌裂孔各參數(shù)(LHA、LHD、HA)均增大,一胎次組與二、三胎次組比較,兩種狀態(tài)下肛提肌裂孔各參數(shù)組間差異均有統(tǒng)計(jì)學(xué)意義(P<0.05); 二胎次組與三胎次組比較,僅在Valsalva動(dòng)作下HA的組間差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。(2)肛提肌裂孔擴(kuò)張情況:Valsalva動(dòng)作下,肛提肌裂孔各參數(shù)的增大幅度(ΔLHA、ΔLHD、ΔHA)隨胎次增加而上升,其中ΔHA的增大最為明顯; 肛提肌裂孔中、重度擴(kuò)張的發(fā)生率在一、二、三胎次組的概率分別為1.22%、4.71%、12.06%,差異具有統(tǒng)計(jì)學(xué)意義(P<0.01)。結(jié)論 胎次增加與肛提肌裂孔擴(kuò)張有明顯的關(guān)系,這可能增加產(chǎn)后婦女發(fā)生盆腔器官脫垂的風(fēng)險(xiǎn)。
Abstract:
Objective To investigate the relationship between increased pars and levator ani hiatus dilation and the potential effect on the risk of pelvic organ prolapse(POP)by quantitatively analyzing the changes of levator ani hiatus in early postpartum women with different parity by transperineal pelvic floor ultrasound.Methods A retrospectively observational nest case control study was carried out.Eligible participants included 809 postpartum women.The participants were divided into three groups according to parity: first parity group(328 cases), second parity group(340 cases)and third parity group(141 cases).The anteroposterior diameter(LHA), left and right diameter(LHD)and area(HA)of levator ani hiatus of the participants were measured using transperineal pelvic floor ultrasound during the resting and Valsalva maneuver states, the changes of the parameters(ΔLHA, ΔLHD, ΔHA)during Valsalva movements compared with resting states were calculated and these parameters were then compared pairwise between the three groups.Results(1)Changes of parameters of levator ani hiatus: With the parity increased, LHA, LHD and HA increased in both resting and Valsalva movements, and the differences of the parameters between the first and second parity groups were statistically significant(P<0.05), while the difference of HA between the second and third parity groups was statistically significant only during Valsalva movements(P<0.05).(2)Expansion of levator ani hiatus: During the Valsalva maneuver, the increase of parameters of levator ani hiatus(ΔLHA, ΔLHD, ΔHA)increased with the increase of parity, and the increase of ΔHA was the most obvious; The incidence of moderate and severe dilatation of the levator ani hiatus in the first, second and third parity groups was 1.22%, 4.71% and 12.06%, respectively, and the difference of positive rate was statistically significant(P<0.01).Conclusion The increase of parities is significantly associated with degree of levator ani hiatus dilation, which may increase the risk of pelvic organ prolapse in postpartum women.

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更新日期/Last Update: 2024-11-20