分娩方式对产后早期肛提肌收缩功能的影响

发布时间：2018-04-23 03:21

本文选题：超声检查 + 分娩　；参考：《中国医学影像技术》2015年09期

【摘要】：目的探讨分娩方式对肛提肌收缩功能的影响。方法选择54名初产妇,其中剖宫产组26名和经阴道分娩组28名。对所选对象于产后6~8周行超声检查,比较两组在静息、缩肛状态时肛提肌裂孔水平夹角、长度、面积及肛提肌裂孔水平夹角改变量、肛提肌裂孔长度改变量、膀胱颈移动度、肛提肌裂孔面积改变量。结果静息状态时两组各参数差异均无统计学意义(P0.05),缩肛状态时两组各参数差异均有统计学意义(P0.05)。两组缩肛状态下肛提肌裂孔水平夹角改变量、肛提肌裂孔长度改变量、膀胱颈移动度、肛提肌裂孔面积改变量差异均有统计学意义(P0.05)。结论选择性剖宫产对肛提肌收缩功能具有一定的保护作用。
[Abstract]:Objective to investigate the effect of delivery mode on the contractile function of levator ani muscle. Methods 54 primipara were selected, including 26 cases in cesarean section group and 28 cases in vaginal delivery group. Ultrasonic examination was performed on the selected subjects at 6 and 8 weeks postpartum. The horizontal angle, length, area and horizontal angle of the levator ani fissure, the length of the fissure of the levator ani muscle, the length of the fissure of the levator ani muscle, the change of the length of the fissure of the levator ani muscle and the degree of bladder neck movement were compared between the two groups during resting and anal contraction. Changes in the area of the fissure of levator ani muscle. Results there was no significant difference in each parameter between the two groups in resting state, but there was significant difference between the two groups in anus contraction state (P 0.05). There were significant differences between the two groups in the changes of the horizontal angle of the levator sphincter, the length of the hiatus of the levator ani, the movement of the bladder neck and the area of the fissure of the levator ani under the condition of constriction of anus (P 0.05). Conclusion selective cesarean section has a protective effect on the contraction of levator ani muscle.
【作者单位】：南昌大学第一附属医院超声科;南昌大学第一附属医院妇产科;
【基金】：江西省卫生厅课题(20113026)
【分类号】：R445.1;R711.5

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