Evaluate the effects of transperineal four-dimensional pelvic floor ultrasound on the pelvic floor structure and function of parturients with different delivery modes
Objective To observe the effects of transperineal four-dimensional pelvic floor ultrasound on the pelvic floor structure and function of parturients with different delivery modes.Methods A total of 120 parturients who gave birth in our hospital from January 2021 to December 2022 were selected.According to the mode of delivery,the parturients were divided into eutocia group(60 cases,vaginal delivery)and operation group(60 cases,cesarean section delivery).At the same time,60 healthy women who were included in our hospital for physical examination were used as control group.All subjects were detected by transperineal four-dimensional color Doppler ultrasound imaging.The three-dimensional ultrasound indexes,the occurrence pelvic floor dys function,ultrasonic indexes of anal levator hiatus and bladder of the research subjects were compared.Results The mobility of urethrovesical junction(UVJ-M),the angle of posterior urethrovesical angle(As,Ar),the distance from bladder neck to the lower edge of pubic symphysis(Ds,Dr)in the eutocia group were greater than those in the operation group,and the distance from anorectal junction to the lower edge of pubic symphysis(ARJ-VD)was smaller than that in the operation group(P<0.05).The incidences of cystocele,uterine prolapse and anterior vaginal wall prolapse in the eutocia group were significantly higher than those in the operation group(P<0.05).In the resting state and the maximum Valsava state,the anteroposterior diameter of the anal levator hiatus,the left and right diameter of the anal levator hiatus,and the area of the anal levator hiatus in the eutocia group were greater than those in the operation group and the control group,the anteroposterior diameter of the anal levator hiatus,the left and right diameter of the anal levator hiatus,and the area of the anal levator hiatus in the operation group were greater than those in the control group(P<0.05).In resting state and maximum Valsava state,the bladder rotation angle and bladder neck displacement distance of the eutocia group were greater than those of the operation group and the control group,and the bladder neck angle,bladder rotation angle and bladder neck displacement distance of the operation group were greater than those of the control group(P<0.05);in the maximum Valsava state,the bladder neck angle of the eutocia group was greater than that of the operation group and the control group(P<0.05).Conclusion Transperineal four-dimensional pelvic floor ultrasound can accurately evaluate the structure and function of pelvic floor in different delivery modes,and can be used for early diagnosis of pelvic floor dysfunction.The risk of pelvic floor dysfunction in vaginal delivery of parturients is higher than that in cesarean section.
NETL
NSTL
万方数据
