阴道分娩不同助产方式对盆底功能的影响

发布时间：2018-02-20 19:28

本文关键词： 盆底超声检查分娩　出处：《中国医学影像技术》2017年03期 　论文类型：期刊论文

【摘要】：目的采用经会阴三维超声探讨阴道分娩中不同助产方式对妇女盆底功能的影响。方法选取经阴道分娩的产妇84名,按助产方式的不同分为会阴完整组32例、会阴侧切组30例、产钳助产组22例。分别获得静息状态、瓦氏动作和缩肛动作时盆隔裂孔图像,比较3组妇女产后盆隔裂孔前后径和面积的差异。结果会阴完整组和会阴侧切组于静息状态、瓦氏动作和缩肛动作时盆隔裂孔的前后径、面积差异均无统计学意义(P均0.05)。会阴完整组和产钳助产组在静息状态、瓦氏动作和缩肛动作时的盆隔裂孔前后径、面积,静息—瓦氏和静息—缩肛时盆隔裂孔改变面积差异均有统计学意义(P均0.05)。结论产钳对盆底功能的损伤大于自然阴道分娩,阴道分娩中,是否会阴切开对盆底功能损伤无明显差异。
[Abstract]:Objective to study the effects of different midwifery modes on pelvic floor function of women in vaginal delivery by transperineal three-dimensional ultrasound. Methods 84 parturient women who were delivered by vagina were divided into perineum complete group (32 cases) and perineal lateral resection group (30 cases). Twenty-two cases in the forceps assisted labor group were given the images of pelvic septum in resting state, Watt's motion and anus contraction, respectively. The difference of the diameter and area of the postpartum pelvic fissure was compared among the 3 groups. Results the perineum intact group and perineal lateral incision group were in resting state. There was no significant difference in the anteroposterior diameter and area of the pelvic septal hole between the two movements (P < 0.05). The perineum intact group and the midwifery group were in the resting state, the anterior and posterior diameter and area of the pelvic septal hole in the Watts movement and the anus contraction movement, and the area of the pelvic septal hole in the perineum intact group and the labor forceps midwifery group. There were statistically significant differences in the area of pelvic septum between resting and receding sphincter (P < 0.05). Conclusion the damage of forceps to pelvic floor function is greater than that of natural vaginal delivery. There was no significant difference between perineal incision and pelvic floor function injury.
【作者单位】：中国医科大学附属盛京医院超声科;
【分类号】：R714.3

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