中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2015年
7期
597-600
,共4页
白云%刘菲菲%李勤%徐莲%胡兵%应涛
白雲%劉菲菲%李勤%徐蓮%鬍兵%應濤
백운%류비비%리근%서련%호병%응도
超声检查%骨盆底%肛提肌%产后女性
超聲檢查%骨盆底%肛提肌%產後女性
초성검사%골분저%항제기%산후녀성
Ultrasonography%Pelvic floor%Levator ani muscle%Postpartum female
目的:应用经会阴盆底超声观察产后不同时期女性的肛提肌收缩功能,评估产后不同阶段女性肛提肌收缩功能的变化情况。方法选取46例产后女性,在产后6~8周及产后半年进行随访观察,选取43例未育女性作为对照组。所有受检者均行经会阴盆底超声检查,分别采集静息期和收缩期的盆膈裂孔图像,测量盆膈裂孔前后径(L)和面积(A),计算肛提肌收缩状态下的盆膈裂孔前后径改变量(ΔL)和面积改变量(ΔA),比较不同组别间ΔL、ΔA 的差异。结果产后6~8周组、半年组及未育组的 L、A 比较,差异无明显统计学意义(P >0.05);未育组、产后半年组ΔL、ΔA 均大于产后6~8周组,差异有统计学意义(P <0.05),而产后半年组与未育组比较,差异无明显统计学意义(P >0.05)。结论产后早期女性肛提肌收缩功能较差,产后半年女性肛提肌收缩功能可恢复。
目的:應用經會陰盆底超聲觀察產後不同時期女性的肛提肌收縮功能,評估產後不同階段女性肛提肌收縮功能的變化情況。方法選取46例產後女性,在產後6~8週及產後半年進行隨訪觀察,選取43例未育女性作為對照組。所有受檢者均行經會陰盆底超聲檢查,分彆採集靜息期和收縮期的盆膈裂孔圖像,測量盆膈裂孔前後徑(L)和麵積(A),計算肛提肌收縮狀態下的盆膈裂孔前後徑改變量(ΔL)和麵積改變量(ΔA),比較不同組彆間ΔL、ΔA 的差異。結果產後6~8週組、半年組及未育組的 L、A 比較,差異無明顯統計學意義(P >0.05);未育組、產後半年組ΔL、ΔA 均大于產後6~8週組,差異有統計學意義(P <0.05),而產後半年組與未育組比較,差異無明顯統計學意義(P >0.05)。結論產後早期女性肛提肌收縮功能較差,產後半年女性肛提肌收縮功能可恢複。
목적:응용경회음분저초성관찰산후불동시기녀성적항제기수축공능,평고산후불동계단녀성항제기수축공능적변화정황。방법선취46례산후녀성,재산후6~8주급산후반년진행수방관찰,선취43례미육녀성작위대조조。소유수검자균행경회음분저초성검사,분별채집정식기화수축기적분격렬공도상,측량분격렬공전후경(L)화면적(A),계산항제기수축상태하적분격렬공전후경개변량(ΔL)화면적개변량(ΔA),비교불동조별간ΔL、ΔA 적차이。결과산후6~8주조、반년조급미육조적 L、A 비교,차이무명현통계학의의(P >0.05);미육조、산후반년조ΔL、ΔA 균대우산후6~8주조,차이유통계학의의(P <0.05),이산후반년조여미육조비교,차이무명현통계학의의(P >0.05)。결론산후조기녀성항제기수축공능교차,산후반년녀성항제기수축공능가회복。
Objective To evaluate the changes of levator ani muscle contractility in different postpartum periods by observing the contractility of postpartum women's levator ani muscle.Methods Forty-six postpartum women and 43 nulliparous women were included in the object.All of those went through translabial pelvic floor ultrasound examinations.Images of their levator hiatus would be recorded at the conditions of rest and contraction.The hiatal length (L)and the area (A)of levator hiatus were measured,then the differences were obtained between rest and contraction conditions,recording as ΔL andΔA.Relevant data were analyzed.Results There was no obvious statistical difference of L and A between the groups (P >0.05).The ΔL and ΔA of the 6-8 weeks were the minimum in this objective(P <0.05). However,there was no statistical difference between nulliparous women and the postpartum 6-8 month's women(P >0.05).Conclusions After delivery,the contractility of levator ani muscle became weaker,but could recovery effectively after about half a year.