Xiao Li, Huang Nan, Zhong Yanbiao, Luo Yun, Wang Maoyuan
Department of Rehabilitation Medicine, First Affiliated Hospital of Gannan Medical University, No. 128 Jinling Road, Zhanggong District, Ganzhou City, 341000, Jiangxi Province, China.
Ganzhou Key Laboratory of Rehabilitation Medicine, Ganzhou City, Jiangxi Province, China.
Int Urogynecol J. 2025 Mar;36(3):607-613. doi: 10.1007/s00192-024-06023-8. Epub 2025 Jan 9.
The relationship between cesarean section scars and active pelvic floor muscle tone lacks sufficient evidence. This study is aimed at investigating the relationship between the severity of cesarean section scars and active pelvic floor muscle tone in postpartum women.
We conducted a prospective cross-sectional study of 604 women at 6-8 weeks postpartum. Active pelvic floor muscle tone was assessed using the Glazer protocol, and scar severity was categorized as no scar, normal scar, and hypertrophic scar. We collected data on demographic and clinical variables, including age, body mass index (BMI), and comorbidities. Linear regression analysis was employed to assess the association between scar severity and active pelvic floor muscle tone, adjusting for potential confounders.
Compared with the no scar group, the normal scar group exhibited higher levels of active pelvic floor muscle tone (β = 1.68 and 1.47), and the hypertrophic scar group had the highest levels of active pelvic floor muscle tone (β = 5.09 and 5.03). Active pelvic floor muscle tone was significantly higher in women with scars than in those without scars. The association remained significant after adjusting for age, BMI, and comorbidities. Moreover, women with hypertrophic scars exhibited higher active pelvic floor muscle tone than those with normal scars.
Cesarean section scar severity is positively associated with increased active pelvic floor muscle tone in postpartum women. This finding highlights the importance of scar management and targeted pelvic floor rehabilitation to optimize postpartum recovery.
剖宫产疤痕与活跃的盆底肌肉张力之间的关系缺乏充分证据。本研究旨在调查产后女性剖宫产疤痕严重程度与活跃的盆底肌肉张力之间的关系。
我们对604名产后6 - 8周的女性进行了一项前瞻性横断面研究。使用Glazer方案评估活跃的盆底肌肉张力，疤痕严重程度分为无疤痕、正常疤痕和增生性疤痕。我们收集了人口统计学和临床变量的数据，包括年龄、体重指数（BMI）和合并症。采用线性回归分析评估疤痕严重程度与活跃的盆底肌肉张力之间的关联，并对潜在混杂因素进行校正。
与无疤痕组相比，正常疤痕组表现出更高水平的活跃盆底肌肉张力（β = 1.68和1.47），增生性疤痕组的活跃盆底肌肉张力水平最高（β = 5.09和5.03）。有疤痕的女性的活跃盆底肌肉张力明显高于无疤痕的女性。在调整年龄、BMI和合并症后，这种关联仍然显著。此外，增生性疤痕的女性比正常疤痕的女性表现出更高的活跃盆底肌肉张力。
剖宫产疤痕严重程度与产后女性活跃的盆底肌肉张力增加呈正相关。这一发现凸显了疤痕管理和针对性盆底康复对优化产后恢复的重要性。
