發(fā)布時間：2018-01-08 05:04

  本文關(guān)鍵詞：三維超聲評價足月妊娠經(jīng)陰道分娩中外源激素的應(yīng)用對盆底功能的影響　出處：《中國醫(yī)學(xué)影像技術(shù)》2017年08期 　論文類型：期刊論文

  更多相關(guān)文章： 盆底 超聲檢查 前列腺素 催產(chǎn)素

【摘要】：目的采用經(jīng)陰式三維超聲評價足月妊娠經(jīng)陰道分娩中應(yīng)用外源激素對盆底功能的影響。方法 90名足月經(jīng)陰道分娩的產(chǎn)婦按使用外源激素情況分為自然分娩組、催產(chǎn)素組和前列腺素E2(PGE2)組,各30名。于產(chǎn)后42天進(jìn)行超聲檢查,分別獲得靜息狀態(tài)、瓦氏和縮肛動作時盆隔裂孔圖像,比較3組產(chǎn)婦盆隔裂孔前后徑和面積。結(jié)果自然分娩組和催產(chǎn)素組于靜息、瓦氏和縮肛動作時盆隔裂孔的前后徑、面積測量值差異均無統(tǒng)計學(xué)意義(P均0.05)。PGE2組與自然分娩組、催產(chǎn)素組在靜息、瓦氏和縮肛動作時盆隔裂孔測量值差異均有統(tǒng)計學(xué)意義(P均0.05)。結(jié)論足月妊娠經(jīng)陰道分娩中應(yīng)用不同外源激素的產(chǎn)婦產(chǎn)后盆底功能存在差異,應(yīng)用外源PGE2對盆底功能的損傷大于應(yīng)用催產(chǎn)素和自然陰道分娩;應(yīng)用催產(chǎn)素對盆底功能的影響較自然陰道分娩無差異。
[Abstract]:Objective to evaluate the effects of exogenous hormones on pelvic floor function in term pregnancy during vaginal delivery by transvaginal three-dimensional ultrasound. Ninety women with term vaginal delivery were divided into natural delivery group according to the use of exogenous hormones. In the oxytocin group and prostaglandin E _ 2 PGE _ 2 group, 30 patients were examined by ultrasound on 42 days postpartum, and the images of pelvic septum were obtained in resting state, Vapor and anal contraction respectively. Results the anteroposterior diameters of pelvic septal holes in the spontaneous delivery group and oxytocin group were compared. There was no significant difference in the area measured values between the two groups (P < 0.05) and the natural delivery group, and the oxytocin group was resting. There were significant differences in the measurement value of pelvic septum between Vapor and anal contraction (P < 0.05). Conclusion there are differences in pelvic floor function between pregnant women who use different exogenous hormones during vaginal delivery during term pregnancy. The damage to pelvic floor function by exogenous PGE2 was greater than that by oxytocin and natural vaginal delivery. The effect of oxytocin on pelvic floor function was not different from that of natural vaginal delivery.
【作者單位】： 中國醫(yī)科大學(xué)附屬盛京醫(yī)院超聲科;遼寧省阜新市中心醫(yī)院超聲科;
【分類號】：R445.1;R714.3
【正文快照】： 近年來,隨著盆底功能障礙(pelvic　floor　dysfunc-為標(biāo)志,圖像還應(yīng)包括尿道、陰道和直腸(圖1)。在靜tion,PFD)逐漸被認(rèn)識以及婦科泌尿?qū)W的發(fā)展,人們息、瓦氏和縮肛動作下分別啟動三維成像(圖2),獲取對PFD恢復(fù)和預(yù)防的重視不斷增加[1-2]。為了使產(chǎn)道盆隔裂孔圖像,存儲后經(jīng)后期

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