Yang R Q, Liu Z Y, Nan Y, Wang F, Yu Q Q, Fan L M
Department of Obstetrics & Gynecology, Second Hospital, Jilin University, Changchun 130041, China.
Zhonghua Yi Xue Za Zhi. 2018 Mar 20;98(11):823-825. doi: 10.3760/cma.j.issn.0376-2491.2018.11.006.
To probe the effect of multiple pregnancy on pelvic floor function of pregnant women, Pelvic floor ultrasonography was performed on the 42 day postpartum women.And the bladder neck mobility, bladder and urethral posterior angle and pelvic diaphragmatic hiatus area were measured. Collect 200 cases 42 day postpartum women who visited the second hospital of Jilin University from July 2015 to June 2017, of which 100 cases of primipara belong to group A, 100 cases of multiple pregnancy belong to group B, and 100 cases without maternal at the same age belong to the control group, ultrasound measurement of the bladder neck mobility, bladder and urethral posterior angle and pelvic diaphragmatic hiatus area were measured. test were proformed respectively between the three groups, <0.05 was considered statistically significant difference. In the control group, the bladder neck mobility is (2.59±0.51) cm , the bladder neck mobility in A group is (2.99±0.69) cm, the bladder neck mobility in B group is (3.36±0.71) cm; the bladder and urethral posterior angle in the control group is (112.56±13.61)°, the bladder and urethral posterior angle in the control group after Valsalva action angle is(135.37±12.17)°, the bladder and urethral posterior angle in A group is(119.26±15.80)°, the bladder and urethral posterior angle in group A after Valsalva action is(141.79±12.08)°, the bladder and urethral posterior angle in B group is(123.62±16.20)°, the bladder and urethral posterior angle in group B after Valsalva action is (148.92±13.60)°; the pelvic diaphragmatic hiatus area in the control group is (13.35±2.86) cm(2,) the pelvic diaphragmatic hiatus area in the control group after Valsalva action is(15.28±3.15) cm(2,) the pelvic diaphragmatic hiatus area in A group is(17.52±3.19) cm(2,) the pelvic diaphragmatic hiatus area in A group ater Valsalva action is (18.06±5.13_the pelvic diaphragmatic hiatus area) cm(2,) the pelvic diaphragmatic hiatus area in B group is (18.26±4.18) cm(2,) the pelvic diaphragmatic hiatus area in B group after Valsalva action is (20.3±3.53) cm(2).In group A, group B and the control group, the measured value of the bladder neck mobility, bladder and urethral posterior angle and pelvic diaphragmatic hiatus area were examined by test, and <0.05, which means the difference was statistically significant. Pregnancy can affect the function of female pelvic floor, and the effect of parturient is more significant than that of the primipara.
为探讨多胎妊娠对孕妇盆底功能的影响，对产后42天的女性进行盆底超声检查。并测量膀胱颈活动度、膀胱与尿道后角及盆底裂孔面积。收集2015年7月至2017年6月在吉林大学第二医院就诊的产后42天女性200例，其中初产妇100例为A组，多胎妊娠100例为B组，100例同龄未孕女性为对照组，超声测量膀胱颈活动度、膀胱与尿道后角及盆底裂孔面积。分别对三组进行检验，P<0.05为差异有统计学意义。对照组膀胱颈活动度为(2.59±0.51)cm，A组膀胱颈活动度为(2.99±0.69)cm，B组膀胱颈活动度为(3.36±0.71)cm；对照组膀胱与尿道后角为(112.56±13.61)°，对照组行Valsalva动作后角度为(135.37±12.17)°，A组膀胱与尿道后角为(119.26±15.80)°，A组行Valsalva动作后膀胱与尿道后角为(141.79±12.08)°，B组膀胱与尿道后角为(123.62±16.20)°，B组行Valsalva动作后膀胱与尿道后角为(148.92±13.60)°；对照组盆底裂孔面积为(13.35±2.86)cm²，对照组行Valsalva动作后盆底裂孔面积为(15.28±3.15)cm²，A组盆底裂孔面积为(17.52±3.19)cm²，A组行Valsalva动作后盆底裂孔面积为(18.06±5.13)cm²，B组盆底裂孔面积为(18.26±4.18)cm²，B组行Valsalva动作后盆底裂孔面积为(20.3±3.53)cm²。对A组、B组和对照组膀胱颈活动度、膀胱与尿道后角及盆底裂孔面积测量值进行检验，P<0.05，差异有统计学意义。妊娠可影响女性盆底功能，经产妇的影响比初产妇更显著。
