经会阴三维超声对阴道分娩者产后盆底生物电刺激的疗效观察

发布时间：2018-06-15 15:19

本文选题：三维超声 + 阴道分娩　；参考：《新疆医科大学学报》2015年06期

【摘要】：目的探讨经会阴三维超声对阴道分娩者产后盆底生物电刺激的治疗效果。方法选取经阴道分娩的初产妇60例,随机分为A、B组,每组各30例,A组自然恢复,B组接受生物电刺激治疗(8 w);选择同期未育女性20例为对照组,利用三维容积探头对受检者进行会阴探查,分别获得产后6 w、产后14 w及未育女性的2种不同状态下(静息状态、Valsalv状态)的盆膈裂孔(levator hiatus,LH)图像及盆膈裂孔的左右径(levator hiatal lateral diameter,LHLR)、前后径(levator hiatal anteroposterior diameter,LHAP)、面积(levator hiatal area,LHA)的测量值,比较各组图像各指标之间的差异性及相关性。结果 (1)产后6 w与14 w,A组在静息状态、Valsalva状态下LH的LHAP、LHLR、LHA各径线测量值比较,差异均有统计学意义(P0.05);产后6 w,A组与对照组各径线的测量值差异均有统计学意义(P0.05);产后14 w,A组与对照组各径线的测量值差异均有统计学意义(P0.05)。(2)产后6 w与14 w,B组与对照组在静息状态、Valsalva状态下LH的LHAP、LHLR、LHA各径线测量值差异均有统计学意义(P0.05);产后6 w,B组与对照组各径线的测量值差异均有统计学意义(P0.05);产后14 w,B组与对照组各径线的测量值差异均无统计学意义(P0.05)。(3)A组与B组产后6 w在静息状态、Valsalva状态下LH的LHAP、LHLR、LHA各径线测量值差异均无统计学意义(P0.05);A组与B组产后14 w在静息状态、Valsalva状态下LH的LHAP、LHLR、LHA各径线测量值差异均有统计学意义(P0.05)。结论经阴道分娩可造成女性盆底结构的改变,生物电刺激疗法可改善由分娩造成的盆底支持系统的伤害,三维超声可为临床早期发现盆底功能障碍性疾病及产后康复提供可靠依据。
[Abstract]:Objective to investigate the therapeutic effect of transperineal three-dimensional ultrasound on postpartum pelvic floor bioelectric stimulation in vaginal delivery. Methods Sixty primipara who were delivered by vagina were randomly divided into two groups: group A (n = 30), group B (n = 30) received bioelectric stimulation for 8 ws, and group B (n = 20) were selected as control group. Three dimensional volume probe was used to detect the perineum. After 6 weeks postpartum, 14 weeks postpartum and 2 different states (resting state and Valsalv state), the images of the pelvic phrenic hiatus were obtained, and the left and right diameters of the pelvic diaphragm hiatus, the levator hiatal anteroposterior diameterLHAPP, the area of levator hiatal were measured. To compare the difference and correlation of each index in each group. Results 1) after 6 weeks postpartum, the LHAPP LHLR LHA of LH in the rest state of Valsalva in group A was compared with that in group A at 14 weeks postpartum. The difference was statistically significant between group A and control group at 6 weeks postpartum, there was significant difference between group A and control group at 6 weeks postpartum, and there were significant differences between group A and control group at 14 weeks postpartum. There was significant difference between group A and group B at 14 weeks postpartum. There were significant differences in the LHAPP LHLRHA-LHA measured values between the control group and the control group in the rest state of Valsalva, the difference of the measured values between the two groups at 6 weeks postpartum (P 0.05), and 14 weeks postpartum between the B group and the control group (P 0.05), and the difference between the two groups at 14 weeks postpartum with that of the control group (P < 0.05), and the difference was significant (P < 0.05) between the control group and the control group at 6 weeks after delivery. There was no significant difference in the measured values between group A and group B at 6 weeks postpartum. There was no significant difference in the LHAPP LHLRHA-LHA measurements between group A and group B at 6 weeks postpartum under the condition of resting Valsalva. There was no significant difference in the LHAPLHLRHA-LHA between group A and group B at 14 weeks postpartum under the condition of resting Valsalva, and there was no significant difference in the LHAPLHLRHA-LHA between group A and group B at 14 weeks postpartum under the condition of Valsalva. The difference of the measured values of each track was statistically significant (P 0.05). Conclusion Transvaginal delivery can cause changes in pelvic floor structure in women. Bioelectric stimulation therapy can improve the injury of pelvic floor support system caused by childbirth. Three-dimensional ultrasound can provide reliable evidence for early diagnosis of pelvic floor dysfunction and postpartum rehabilitation.
【作者单位】：新疆医科大学第五附属医院超声诊断科;
【基金】：新疆维吾尔自治区自然科学基金(2012211A049)
【分类号】：R445.1;R714.6

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