CAJ | 학술논문

目的：探讨经会阴盆底三维超声评估产后女性盆底肌收缩功能的临床效果。方法2011年12月至2013年12月期间，在我院收治的产妇资料中，选取43例阴道自然分娩的产后女性作为A组，再选取43例剖宫产的产后女性作为B组，同期再选取43例未育女性作为C组，采用三维超声评估三组女性盆底肌收缩功能。结果产后女性（ A、B组）的矢状位肛提肌裂孔长度差值、盆膈裂孔面积差值、盆膈裂孔周长差值均明显低于未育女性（C组），差异比较有统计学意义（ P ＜0.05）。但A、B两组相比不具明显差异（P＞0.05）。结论经会阴盆底三维超声评估产后女性盆底肌收缩功能，切实可行，值得推广。
목적：탐토경회음분저삼유초성평고산후녀성분저기수축공능적림상효과。방법2011년12월지2013년12월기간，재아원수치적산부자료중，선취43례음도자연분면적산후녀성작위A조，재선취43례부궁산적산후녀성작위B조，동기재선취43례미육녀성작위C조，채용삼유초성평고삼조녀성분저기수축공능。결과산후녀성（ A、B조）적시상위항제기렬공장도차치、분격렬공면적차치、분격렬공주장차치균명현저우미육녀성（C조），차이비교유통계학의의（ P ＜0.05）。단A、B량조상비불구명현차이（P＞0.05）。결론경회음분저삼유초성평고산후녀성분저기수축공능，절실가행，치득추엄。
Objective To investigate the clinical effect of assessing pelvic floor muscle contraction function by the perineum pel-vic floor three-dimensional ultrasound in postpartum women.Methods 43 cases of vaginal delivery of postpartum women were se-lected as group A, 43 cases of cesarean delivery postpartum women as group B, and 43 cases childless women for the same period as group C during Dec.2011 to Dec.2013 in our hospital maternal material.We used three-dimensional ultrasound to assess pelvic floor muscle contraction function in three groups of female.Results The results of the sagittal position anal levator in length differ-ence, pelvic diaphragm hiatal area difference, and basin diaphragmatic hiatus perimeter difference in postpartum women (group A, B) were significantly lower than those in childless women (group C) ( P <0.05).But there was no obviously difference between group A and group B ( P >0.05).Conclusion The perineum pelvic floor three-dimensional ultrasound is a practical method to assess pelvic floor muscle contraction function in postpartum women.