经会阴二维超声对自然分娩女性产后盆底三腔室运动和 早期盆底功能的评估价值.

To explore the evaluation value of two-dimensional perineal ultrasound on three-compartment movement and early pelvic floor function of postpartum women with natural delivery. 284 women who gave birth naturally in our hospital from February 2019 to July 2019 were selected as the study group, and 200 women who did not give birth to gynecological diseases during the same period were selected as the control group. Transperineal two-dimensional ultrasound examination was performed between the two groups,the position and movement changes of anorectal junction (ARJ), cervical mouth outside (CV), urethral vesica junction (UVJ) during resting period, tension period and anal contraction period were compared between the two groups. The pelvic floor ultrasound parameters under resting state and maximum Valsaval action were compared between the two groups. The vertical length of CV distance from horizontal reference line (CV-VD) and UVJ distance from horizontal reference line (UVJ-VD) in the study group during resting period, tension period and anal contraction period were lower than those in the control group (all P＜0.05). The vertical lengths of △ r-sCV-VD and △ r-sUVJ-VD in the study group during tension period corresponds to resting period were higher than those in the control group, while the vertical lengths of △ r-sCV-VD and △ r-sUVJ-VD in the study group during anal contraction period corresponds to resting period were lower than those in the control group (all P＜0.05). The bladder neck position (BNP) in the study group in resting state was lower than that in the control group, but the posterior urethravesical angel (PUA) was higher than that in the control group (all P＜0.05). The maximum Valsaval movement of bladder neck descent (BND), PUA and urethral rotation angel (URA) in the study group were all higher than those in the control group (all P＜0.05). Transperineal two-dimensional ultrasound can effectively observe the postpartum pelvic floor movement and early pelvic floor function of women in natural delivery. It is helpful to evaluate the changes of pelvic floor structure and function, and it has certain clinical application value. [ABSTRACT FROM AUTHOR]