实用妇产科杂志
實用婦產科雜誌
실용부산과잡지
JOURNAL OF PRACTICAL OBSTETRICS AND GYNECOLOGY
2010年
4期
304-306
,共3页
盆底功能障碍性疾病%膀胱角度%妊娠%分娩
盆底功能障礙性疾病%膀胱角度%妊娠%分娩
분저공능장애성질병%방광각도%임신%분면
Peivic floor dysfunction%Bladder neck angle%Pregnancy%Delivery
目的:探讨妊娠晚期和产后早期女性盆底功能的变化情况.方法:随机抽取2007年7-10月在广州医学院第一附属医院门诊产前检查的晚期妊娠孕妇46例,分别在妊娠晚期及产后6～8周及产后12～14周对压力性尿失禁(SUI)发生率以及产后不同时期会阴B超检查膀胱颈移动度情况进行研究.结果:单纯国际尿失禁问卷和护垫实验联合国际尿失禁问卷两种方法评价SUI的发生率分别为:妊娠晚期组47.83%,39.13%;产后6～8周组21.74%,15.22%;产后12～14周组17.24%、13.79%.产后6～8周组SUI发生率均较妊娠晚期组降低,差异有统计学意义(P<0.05);产后12～14周组SUI发生率均较产后6～8周组降低,但差异无统计学意义(P>0.05).产后12～14周组膀胱角度、膀胱颈旋转角度较产后6-8周组明显减小[(88.11 ±13.36)°vs(82.17±10.28)°;(21.67±10.64)°vs(16.79 ±8.57)°],差异有统计学意义(P<0.05).结论:妊娠和分娩对盆底功能有一定的损伤,产后盆底功能有一定的康复趋势.
目的:探討妊娠晚期和產後早期女性盆底功能的變化情況.方法:隨機抽取2007年7-10月在廣州醫學院第一附屬醫院門診產前檢查的晚期妊娠孕婦46例,分彆在妊娠晚期及產後6～8週及產後12～14週對壓力性尿失禁(SUI)髮生率以及產後不同時期會陰B超檢查膀胱頸移動度情況進行研究.結果:單純國際尿失禁問捲和護墊實驗聯閤國際尿失禁問捲兩種方法評價SUI的髮生率分彆為:妊娠晚期組47.83%,39.13%;產後6～8週組21.74%,15.22%;產後12～14週組17.24%、13.79%.產後6～8週組SUI髮生率均較妊娠晚期組降低,差異有統計學意義(P<0.05);產後12～14週組SUI髮生率均較產後6～8週組降低,但差異無統計學意義(P>0.05).產後12～14週組膀胱角度、膀胱頸鏇轉角度較產後6-8週組明顯減小[(88.11 ±13.36)°vs(82.17±10.28)°;(21.67±10.64)°vs(16.79 ±8.57)°],差異有統計學意義(P<0.05).結論:妊娠和分娩對盆底功能有一定的損傷,產後盆底功能有一定的康複趨勢.
목적:탐토임신만기화산후조기녀성분저공능적변화정황.방법:수궤추취2007년7-10월재엄주의학원제일부속의원문진산전검사적만기임신잉부46례,분별재임신만기급산후6～8주급산후12～14주대압력성뇨실금(SUI)발생솔이급산후불동시기회음B초검사방광경이동도정황진행연구.결과:단순국제뇨실금문권화호점실험연합국제뇨실금문권량충방법평개SUI적발생솔분별위:임신만기조47.83%,39.13%;산후6～8주조21.74%,15.22%;산후12～14주조17.24%、13.79%.산후6～8주조SUI발생솔균교임신만기조강저,차이유통계학의의(P<0.05);산후12～14주조SUI발생솔균교산후6～8주조강저,단차이무통계학의의(P>0.05).산후12～14주조방광각도、방광경선전각도교산후6-8주조명현감소[(88.11 ±13.36)°vs(82.17±10.28)°;(21.67±10.64)°vs(16.79 ±8.57)°],차이유통계학의의(P<0.05).결론:임신화분면대분저공능유일정적손상,산후분저공능유일정적강복추세.
Objective:To investigate the change of petvic floor function in the third trimester of pregnancy and early postpartum.Methods :46 pregnant women in the third trimester in our hosprtal from July to October 2007 were randomly selected.In late pregnancy, 6 ～8 weeks and 12 ～14 weeks after delivery, the incidenca of stress urinary incontinence (SUI) and bladder neck mobility in different stage of puerperium was carried out.They were respectively given score, protectrve pad experiment, ultrasonic testing residual urine and peri-neum ultrasound examination.An anarysis on their.Results :The incidence of SUI that diagnosis by POP-Q or POP-Q combined with pat test was 47.83% ,39.13% respectively in late pregnancy group;21.74% ,15.22% in 6 ～8 weeks after delivery;17.24%.13.7g% in 12 ～14 weeks after delivery.The difference between late pregnancy group and 6～8 waeks after delivery group was statistical significance (P<0.05).There was no significantly difference between 6 ～8 weeks and 12 ～14 weeks after delivery groups(P>0.05).There was significant difference between 6 ～ 8 weeks and 12～14 weeks after delivery group while compared the bladder neck angle[(88.11± 13.36)° vs(82.17 ±10.28)°]with the bladder neck rotation angle[(21.67 ±10.64) ° vs (16.79±8.57) °].Conclusions :Pregnancy and delivery can damage the function of pelvic floor, which has certain rehabilitation after delivery.
