不同妊娠分娩方式对女性盆底组织结构影响临床研究.docVIP

不同妊娠分娩方式对女性盆底组织结构影响的临床研究 　　[摘要] 目的 探讨不同的分娩方式对于产后女性盆底组织结构影响。 方法 随机选取进入该院的2012年1月―2014年12月收治的100名产妇，根据不同分娩方式分组，其中顺产60例（顺产组），选择性剖宫产40例（剖宫产组）。于妊娠晚期以及产后6～8周、12～14周进行压力性尿失禁（SUI）发生率问卷调查、护垫实验、会阴超声检查，此外对结果进行分析。 结果 在分娩之前，顺产组的SUI发生例数为11例，即18.33%，选择性剖产组的SUI发生例数为7例，即17.5%。两组的SUI发生率P0.05。针对60例产妇6～8周及12～14周的膀胱角度、膀胱颈旋转角度进行B超检查，产后12～14周的膀胱角度、膀胱颈旋转角度减小了不少，P0.05。 结论 妊娠和分娩会对产妇的盆底组织结构造成一定的影响，不同的分娩方式造成的盆底组织结构损伤是暂时的，随着时间的推移，损伤会有恢复的趋势。 　　[关键词] 选择性剖宫产；顺产；妊娠；盆底组织结构；产科 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）02（b）-0083-02 　　[Abstract] Objective To discuss the effect of different delivery modes for pregnancy on postpartum female pelvic floor organization structures. Methods 100 cases of puerpera treated in our department from January 2012 to December 2014 were selected and divided into the natural birth group with 60 cases and the cesarean section group with 40 cases according to the different delivery modes， the questionnaire survey of incidence of stress incontinence （SUI）， pad test and perineum ultrasonic examination were implemented in the late trimester of pregnancy and at the sixth week to the eighth week and the twelfth week to the fourteenth week， in addition， the results were given correlation analysis. Results Before delivery， the occurrence case was 11 in the natural birth group （18.33%） and 7 in the elective cesarean section group（17.5%）， the difference in the incidence of SUI between the two groups was not statistically significant P0.05， the bladder neck angle and neck of bladder rotation angle of 60 cases of puerpera were examined by B-mode ultrasound at the sixth week to the eighth week and at the twelfth week to the fourteenth week， the bladder neck angle and neck of bladder rotation angle at postpartum twelfth week to the fourteenth week decreased a lot P0.05. Conclusion Pregnancy and delivery can pose a certain effect on the pelvic floor organization structures of puerpera， the injury of pelvic floor organization structures posed by the different delivery ways is t