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时间:2020-05-19
《实时三维超声观察不同分娩方式对产后压力性尿失禁的影响.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、临历研究Linchuangyanjju《中国医学创新》第l2卷第14期(总第332J~])2015年5月实时三维超声观察不同分娩方式对产后压力性尿失禁的影响木黄祝兰①郑洪平①林李梅①黄歆①谭卫平①【摘要】目的:探讨经会阴三维超声观察不同分娩方式对压力性尿失禁(SUI)的影响。方法:对来笔者医院诊断、治疗的312例尿失禁患者相关资料进行分析,根据患者不同分娩方式将其分为两组,对照组150例实施阴道分娩,试验组162例实施剖宫产,采用会阴三维超声对患者进行检查,分析不同分娩方式对产后压力性尿失禁的影响。结果:试验组BND为(2.32±0.56)cm,安静时肛提肌裂孔面积为(1
2、5.24-4-1.9)cm,最大Valsalva动作时肛提肌裂孔面积为(20.14-4.5)crn2,对照组BND为(2.61±0.49)cm,安静时肛提肌裂孔面积为(17.34-2.0)crn2,最大Valsalva动作时肛提肌裂孔面积为(22.3±3.9)cm,两组比较差异均有统计学意义(P<0.05);试验组产后6个月排尿状况评分为(2.534-0.44)分、产后12个月排尿状况评分为(1.86±0.33)分,均低于对照组;试验组产后6个月盆底肌力评分为(3.184-0.43)分,产后12个月盆底肌力评分为(4.464-0.42)分,高于对照组,两组比较差异有统计学
3、意义(P4、。12(14):020-022【Abstract】0bjective:Toinvestigatetheeffectofdifferentdeliverymodesonstressurinaryincontinencebytransperinealthree—dimensionalultrasound.Method:Theauthorto.312patientsofurinaryincontinencewereselectedanddiagnosedinOUrhospital,thetreatment-relateddatawasanalyzed.Thepatientswe5、redividedintotwogroupsdependingonthemodeofdelivery,thecontrolgroupof150casesweretreatedbyvaginaldelivery,theexperimentalgroupof162casesweretreatedbycaesareansection.Thpatientswereusedtransperinealthree-dimensionalultrasoundexamination,theimpactofdifferentdeliverymethodsforpostpartumstress6、urinaryincontinencewereanalyzed.Result:TheexperimentalgroupBNDwas(2.324-O.56)cm,levatorhiatusduringquietaEeawas(15.2±1.9)cm2,themaximumValsalvamaneuverlevatorhiatusareawas(20.14-4.5)cm,1owerthanthecontrolgroupBNDof(2.61±0.49)em,levatorhiatusduringquietareaof(17.3±2.0)em,themaximumValsalva7、maneuverlevatorhiatusareaof(22.3±3.9)em,thedifferencewasstatisticallysignificant(P
4、。12(14):020-022【Abstract】0bjective:Toinvestigatetheeffectofdifferentdeliverymodesonstressurinaryincontinencebytransperinealthree—dimensionalultrasound.Method:Theauthorto.312patientsofurinaryincontinencewereselectedanddiagnosedinOUrhospital,thetreatment-relateddatawasanalyzed.Thepatientswe
5、redividedintotwogroupsdependingonthemodeofdelivery,thecontrolgroupof150casesweretreatedbyvaginaldelivery,theexperimentalgroupof162casesweretreatedbycaesareansection.Thpatientswereusedtransperinealthree-dimensionalultrasoundexamination,theimpactofdifferentdeliverymethodsforpostpartumstress
6、urinaryincontinencewereanalyzed.Result:TheexperimentalgroupBNDwas(2.324-O.56)cm,levatorhiatusduringquietaEeawas(15.2±1.9)cm2,themaximumValsalvamaneuverlevatorhiatusareawas(20.14-4.5)cm,1owerthanthecontrolgroupBNDof(2.61±0.49)em,levatorhiatusduringquietareaof(17.3±2.0)em,themaximumValsalva
7、maneuverlevatorhiatusareaof(22.3±3.9)em,thedifferencewasstatisticallysignificant(P
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