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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P>0.05。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,P<0.05。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。
Objective To investigate the effect of different modes of delivery on pelvic floor tissue of postpartum women. Methods A total of 100 maternal women admitted to the hospital from January 2012 to December 2014 were enrolled according to different modes of delivery. Among them, 60 were cesarean (cisgenic group), 40 were cesarean section (cesarean section group) . Stressful urinary incontinence (SUI) questionnaire, panty liner test and perineal ultrasonography were performed in the third trimester of pregnancy and 6 to 8 weeks after delivery and 12 to 14 weeks after delivery. In addition, the results were analyzed. Results Before delivery, the incidence of SUI in the cesarean section group was 11 cases (18.33%), and that in the selective dissection group was 7 cases (17.5%). The incidence of SUI in both groups was P> 0.05. The bladder angle and bladder neck rotation angle of 60 maternal women at 6-8 weeks and 12-14 weeks were examined by B-mode ultrasonography. The bladder angle and bladder neck rotation angle at 12-14 weeks after delivery were significantly reduced (P <0.05). Conclusions Pregnancy and childbirth will have a certain impact on the pelvic floor tissue of pregnant women. The damage of pelvic floor tissue caused by different modes of delivery is temporary, and the injury tends to recover with the passage of time.