三维超声和盆底肌电生理评估联合评价产后早期肛提肌收缩功能

doi:10.12117/jccmi.2019.03.012

Abstract
Figure/Table
References (14)
Related Citation (15)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To evaluate the application value of the levator ani contraction function in early postpartum women by using the three-dimensional ultrasound and pelvic floor muscle electrophysiological assessment. Methods: A total of 60 primiparas without pelvic floor dysfunction who review in postpartum 6~8 weeks were selected as study objects in Xuzhou Maternity and Child Health Care Hospital from March 2016 to March 2018, and then they were divided into natural delivery group 30 cases, and cesarean section group 30 cases, randomly according the ratio 1∶1. Meanwhile, cases of 30 healthy nulliparas were chosen as control group during the same period. The three-dimensional ultrasound and pelvic floor muscle electrophysiological assessment were performed in the three groups. The differences between the three groups were compared, and the correlations between the relative variation quantity of pelvic diaphragm hiatus under anus contracting condition and pelvic floor electrophysiological parameters were analyzed. Results: The relative variation quantity of pelvic diaphragm hiatus under anus contracting condition were positively correlated to pelvic floor electrophysiological parameters, and the correlation coefficient was 0.37~0.68. Conclusion: The three-dimensional ultrasound and pelvic floor muscle electrophysiological assessment have significances in evaluation on the levator ani contraction function.

Key words： Pelvic floor Muscle contraction Postpartum period Ultrasonography

Received: 24 April 2018

PACS:	Ｒ685.4
	Ｒ445.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	SONG Lei
	XU Yao-xuan
	ZHANG Li

Cite this article:

SONG Lei,XU Yao-xuan,ZHANG Li. The evaluation of levator ani contraction function in early postpartum women by three- dimensional ultrasound and pelvic floor muscle electrophysiological assessment[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(3): 195-198.

URL:

http://www.jccmi.com.cn/EN/10.12117/jccmi.2019.03.012 OR http://www.jccmi.com.cn/EN/Y2019/V30/I3/195

[1]Dietz HP, Simpson JM. Levator trauma is associated with pelvic organ prolapse[J]. BJOG, 2008, 115(8): 979-984. [2]陈瑞云，宋岩峰，江丽，等. 肛提肌收缩功能的三维超声评估[J]. 实用妇产科杂志，2010，26（9）：671-673. [3]Delancey JO, Kearney R, Chou Q, et al. The appearance of levator ani muscle abnormalities in magnetic resonance images after vaginal delivery[J]. Obstet Gynecol, 2003, 101(1): 46-53. [4]王毅，龚水根，张伟国，等. MRI对分娩并发肛提肌损伤的评价研究[J]. 中华放射学杂志，2006，40（10）：1075-1078. [5]张曼，王荣，王兴田，等. 三维超声评估女性盆膈裂孔的研究[J]. 中国临床医学影像杂志，2015，26（9）：657-659. [6]李勤，应涛，徐莲. 妊娠晚期女性盆膈裂孔的超声影像学表现[J]. 中华超声影像学杂志，2012，21（6）：496-499. [7]王慧芳，陈华，折瑞莲，等. 经会阴超声评估前盆腔器官脱垂程度与临床盆腔器官脱垂定量分期的相关性研究[J]. 中华超声影像学杂志，2013，22（8）：684-687. [8]许瑶璇，张丽，袁秀珍，等. 断层超声评估肛提肌肌力的可行性探讨[J]. 中国医药导报，2016，13（28）：111-115. [9]白云，刘菲菲，李勤，等. 产后不同时期女性肛提肌收缩功能的超声评价[J]. 中华超声影像学杂志，2015，24（7）：597-599. [10]Bo K, Sherburn M. Evaluation of female pelvic-floor muscle function and strength[J]. Phys Ther, 2005, 85(3): 269-282. [11]Thyer I, Shek C, Dietz HP. New imaging method for assessing pelvic floor biomechanics[J]. Ultrasound Obstet Gynecol, 2008, 31(2): 201-205. [12]Resende AP, Petricelli CD, Bemardes BT, et al. Electromyographic evaluation of pelvic floor muscles in pregnant and nonpregant women[J]. Int Urogynecol J, 2012, 23(8): 1041-1045. [13]陶均佳，徐莲，刘菲菲，等. 三维超声评估产后盆底肌收缩功能的初步研究[J]. 中国超声医学杂志，2013，29（5）：440-443. [14]申志茜，任保辉，陈凤霞，等. 生物反馈联合电刺激治疗女性压力性尿失禁的临床观察[J]. 中国妇产科临床杂志，2016，17（5）：444-445.