三维超声评价足月妊娠经阴道分娩中外源激素的应用对盆底功能的影响

发布时间：2018-01-08 05:04

本文关键词：三维超声评价足月妊娠经阴道分娩中外源激素的应用对盆底功能的影响　出处：《中国医学影像技术》2017年08期 　论文类型：期刊论文

【摘要】：目的采用经阴式三维超声评价足月妊娠经阴道分娩中应用外源激素对盆底功能的影响。方法 90名足月经阴道分娩的产妇按使用外源激素情况分为自然分娩组、催产素组和前列腺素E2(PGE2)组,各30名。于产后42天进行超声检查,分别获得静息状态、瓦氏和缩肛动作时盆隔裂孔图像,比较3组产妇盆隔裂孔前后径和面积。结果自然分娩组和催产素组于静息、瓦氏和缩肛动作时盆隔裂孔的前后径、面积测量值差异均无统计学意义(P均0.05)。PGE2组与自然分娩组、催产素组在静息、瓦氏和缩肛动作时盆隔裂孔测量值差异均有统计学意义(P均0.05)。结论足月妊娠经阴道分娩中应用不同外源激素的产妇产后盆底功能存在差异,应用外源PGE2对盆底功能的损伤大于应用催产素和自然阴道分娩;应用催产素对盆底功能的影响较自然阴道分娩无差异。
[Abstract]:Objective to evaluate the effects of exogenous hormones on pelvic floor function in term pregnancy during vaginal delivery by transvaginal three-dimensional ultrasound. Ninety women with term vaginal delivery were divided into natural delivery group according to the use of exogenous hormones. In the oxytocin group and prostaglandin E _ 2 PGE _ 2 group, 30 patients were examined by ultrasound on 42 days postpartum, and the images of pelvic septum were obtained in resting state, Vapor and anal contraction respectively. Results the anteroposterior diameters of pelvic septal holes in the spontaneous delivery group and oxytocin group were compared. There was no significant difference in the area measured values between the two groups (P < 0.05) and the natural delivery group, and the oxytocin group was resting. There were significant differences in the measurement value of pelvic septum between Vapor and anal contraction (P < 0.05). Conclusion there are differences in pelvic floor function between pregnant women who use different exogenous hormones during vaginal delivery during term pregnancy. The damage to pelvic floor function by exogenous PGE2 was greater than that by oxytocin and natural vaginal delivery. The effect of oxytocin on pelvic floor function was not different from that of natural vaginal delivery.
【作者单位】：中国医科大学附属盛京医院超声科;辽宁省阜新市中心医院超声科;
【分类号】：R445.1;R714.3
【正文快照】： 近年来,随着盆底功能障碍(pelvic　floor　dysfunc-为标志,图像还应包括尿道、阴道和直肠(图1)。在静tion,PFD)逐渐被认识以及妇科泌尿学的发展,人们息、瓦氏和缩肛动作下分别启动三维成像(图2),获取对PFD恢复和预防的重视不断增加[1-2]。为了使产道盆隔裂孔图像,存储后经后期

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