The Predictive Value of Pelvic Ultrasound Measurement Parameters for Early Pelvic Floor Dys-function in Primiparous Women after Delivery
[Objective]To explore the predictive value of pelvic ultrasound measurement parameters for early pelvic floor dysfunction in primiparous women after delivery.[Methods]Clinical data of 82 primiparous women who gave birth in Baoji Maternal and Child Health Hospital from February 2018 to February 2021 were collected.They were divided into natural delivery group(n =40)and cesarean section group(n =42)accord-ing to different delivery methods.According to whether pelvic floor dysfunction occurred within one year of production,the natural childbirth group can be divided into the dysfunction group(n =17)and the normal group(n =23);The cesarean section group can be divided into the obstructed group(n =13)and the nor-mal group(n =29).All study subjects underwent ultrasound examination before delivery and 6-8 weeks postpartum.Pelvic ultrasound parameters such as bladder urethral posterior angle(PUA),bladder neck mob-ility(BND),urethral rotation angle(URA),detrusor muscle thickness(DwT),and levator ani muscle rup-ture area(LHA)were compared.Receiver operating characteristic(ROC)curves were used to analyze the pre-dictive value of pelvic ultrasound measurement parameters for early pelvic floor dysfunction in primiparous women after delivery.[Results]Postpartum BND,URA,DwT,resting PUA,tile PUA,resting LHA,and tile LHA were all higher in the natural delivery group and cesarean section group than before delivery(P<0.05);The BND,URA,resting LHA,and tile LHA in the postpartum disorders group after natural delivery and cesarean section were higher than those in the normal group(P<0.05);The ROC curve analysis results show that BND,URA,resting LHA,and tile LHA can be used to predict early pelvic floor dysfunction in pri-miparous women after natural delivery and cesarean section,with areas under the curves of 0.923,0.872,0.854,0.885,and 0.936,0.817,0.975,and 0.916,respectively.[Conclusion]Pelvic ultrasound parameters have high predictive value for early pelvic floor dysfunction in primiparous women after delivery,and have pos-itive significance in preventing pelvic floor dysfunction in primiparous women after delivery.
万方数据
维普
