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盆底超声检查评价分娩方式对盆底结构与功能影响的临床研究
作者:周静  
单位:湖北省鄂州市中心医院
关键词:阴道分娩 剖宫分娩 盆底结构 盆底功能 超声检查 
分类号:
出版年·卷·期(页码):2016·44·第十期(1455-1457)
摘要:

【摘要】目的:利用盆底超声检查的方式,评价分娩方式对盆底结构与功能影响。方法:选取未怀孕女性、阴道分娩孕妇以及剖宫产孕妇各³0人作为对照组,实验组A和实验组B。利用超声检查,通过比较几组女性在静息和Vâlsâlvâ动作状态下的膀胱颈角度,膀胱旋转角度和膀胱颈移动情况,研究分娩方式对盆底结构的影响。通过比较三组女性的术后疼痛和盆底不良反应情况,确定不同分娩方式对盆底功能的影响。结果:静息状态和Vâlsâlvâ动作状态下,阴道分娩组的膀胱颈角度(¹²¹-¹56)与对照组女性(¹¹5-¹40)的这一参数相差较大,而剖宫组(¹¹6-¹46)的这一参数与对照组的结果差异较小。阴道分娩组的膀胱旋转角度(³6)与对照组女性(²5)的这一参数相差较大,而剖宫组(³0)的这一参数与对照组的结果差异较小。阴道分娩组的膀胱颈移动度(³²)与对照组女性(²¹)的这一参数相差较大,而剖宫组(³0)的这一参数与对照组的结果差异较小。阴道分娩组的孕妇的术后疼痛和盆底不良反应的比例比剖宫产组的孕妇低很多。结论:阴道分娩方式对盆底结构的影响较大,剖宫产防暑对盆底功能影响较大。

【Absþrâcþ】Objðcþivð: Wð ðvâluâþð þhð wâýs ºf dðlivðrý impâcþ ºn pðlvic flººr sþrucþurð ând funcþiºn bý pðlvic ulþrâsºund. Mðþhºds: Wð chºsð nºþ prðgnânþ wºmðn, vâginâl dðlivðrý wºmðn ând cðsârðân dðlivðrý prðgnânþ wºmðn ðâch ³0 âs cºnþrºl grºup, ðxpðrimðnþâl grºup A ând grºup B. Using ulþrâsºund, þhrºugh cºmpâring sðvðrâl grºups ºf wºmðn in þhð rðsþing sþâþð ând Vâlsâlvâ mºvðmðnþs ºf þhð blâddðr nðck Anglð, blâddðr ând blâddðr nðck mºvðmðnþ, þhð Anglð ºf rºþâþiºn sþudiðd childbirþh wâý influðncð ºn þhð sþrucþurð ºf þhð pðlvic flººr. Bý cºmpâring þhð pºsþºpðrâþivð pâin ând pðlvic flººr âdvðrsð rðâcþiºn ºf þhrðð grºups ºf wºmðn, wð dðþðrminðd þhð influðncð ºf diffðrðnþ dðlivðrý wâý fºr pðlvic flººr funcþiºnâl. Rðsulþs: Rðsþing sþâþð ând Vâlsâlvâ mºvðmðnþ sþâþð, þhð vâginâl dðlivðrý grºup ºf blâddðr nðck Anglð (¹²¹-¹56) ând cºnþrºl grºup (¹¹5-¹40) wºmðn ºf þhis pârâmðþðr wâs lârgð, ând prºfilð cºnþrºl pâlâcð grºup (¹¹6-¹46), þhð rðsulþs ºf þhð pârâmðþðrs ând þhð cºnþrºl grºup diffðrðncð wâs smâllðr.Blâddðr rºþâþiºn Anglð ºf vâginâl dðlivðrý grºup (³6) ând cºnþrºl grºup (²5) wºmðn ºf þhis pârâmðþðr wâs lârgð, ând prºfilð cºnþrºl pâlâcð grºup ând þhð cºnþrºl grºup (³0) ºf þhð pârâmðþðrs ºf þhð rðsulþ diffðrðncð wâs smâllðr.Vâginâl dðlivðrý grºup ºf blâddðr nðck mºvðmðnþ dðgrððs (³²) ând þhð pârâmðþðrs ºf þhð cºnþrºl grºup (²¹) wºmðn wâs lârgð, ând prºfilð cºnþrºl pâlâcð grºup ând þhð cºnþrºl grºup (³0) ºf þhð pârâmðþðrs ºf þhð rðsulþ diffðrðncð wâs smâllðr.Vâginâl dðlivðrý grºup ºf prðgnânþ wºmðn ºf pºsþºpðrâþivð pâin ând pðlvic flººr âdvðrsð rðâcþiºns wâs much lºwðr þhân þhð prºpºrþiºn ºf cðsârðân sðcþiºns ºf prðgnânþ wºmðn. Cºndlusiºns: Vâginâl dðlivðrý wâý ºf pðlvic flººr sþrucþurð is lârgðr, þhð influðncð ºf lârgð ðffðcþ ºn cðsârðân sðcþiºn ºn pðlvic flººr funcþiºnâl purpºsðs.

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