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非器械助产阴道分娩后阴部神经的恢复

Pudendal nerve recovery after a non-instrumented vaginal delivery.

作者信息

Tetzschner T, Sørensen M, Lose G, Christiansen J

机构信息

Department of Obstetrics and Gynecology, Glostrup County Hospital, University of Copenhagen, Denmark.

出版信息

Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(2):102-4. doi: 10.1007/BF01902382.

DOI:10.1007/BF01902382
PMID:8798096
Abstract

The aim of the study was to investigate pudendal nerve function after a non-instrumented vaginal delivery. Seventeen primiparae women who had had a non-instrumented vaginal delivery were examined 3-5 days and 3 months after delivery. At both assessments pudendal nerve terminal motor latency (PNTML) was measured. The PNTML was found to decrease significantly from 2.64 ms in the first few days after delivery to 1.95 ms 3 months after delivery (P = 0.00009). PNTML decreased in all but one of the 17 women during the observation period. Immediately after delivery 9 women (53%) had a pathological high PNTML value, which was normalized 3 months later in all but 1. It was concluded that pudendal nerve function is often impaired immediately after a non-instrumented vaginal delivery, but recovers in most women over a 3-month period.

摘要

该研究的目的是调查非器械助产阴道分娩后阴部神经的功能。对17例非器械助产阴道分娩的初产妇在产后3 - 5天和3个月进行检查。在两次评估中均测量了阴部神经终末运动潜伏期(PNTML)。发现PNTML从产后头几天的2.64毫秒显著降至产后3个月的1.95毫秒(P = 0.00009)。在观察期内,17名女性中除1人外,其余所有人的PNTML均下降。分娩后立即有9名女性(53%)的PNTML值病理性升高,3个月后除1人外其余均恢复正常。得出的结论是,非器械助产阴道分娩后,阴部神经功能常在分娩后立即受损,但在大多数女性中会在3个月内恢复。

相似文献

1
Pudendal nerve recovery after a non-instrumented vaginal delivery.非器械助产阴道分娩后阴部神经的恢复
Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(2):102-4. doi: 10.1007/BF01902382.
2
Follow-up evaluation of the effect of vaginal delivery on the pelvic floor.
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本文引用的文献

1
Reliability of pudendal nerve terminal motor latency.阴部神经终末运动潜伏期的可靠性
Int J Colorectal Dis. 1997;12(5):280-4. doi: 10.1007/s003840050106.
2
Delivery and pudendal nerve function.分娩与阴部神经功能。
Acta Obstet Gynecol Scand. 1997 Apr;76(4):324-31. doi: 10.1111/j.1600-0412.1997.tb07986.x.
3
Pudendal nerve damage during labour: prospective study before and after childbirth.分娩时阴部神经损伤:分娩前后的前瞻性研究
Int Urogynecol J. 2010 Sep;21(9):1095-102. doi: 10.1007/s00192-010-1164-7. Epub 2010 May 11.
4
Time course of neuroanatomical and functional recovery after bilateral pudendal nerve injury in female rats.雌性大鼠双侧阴部神经损伤后神经解剖和功能恢复的时间进程。
Am J Physiol Renal Physiol. 2007 Nov;293(5):F1614-21. doi: 10.1152/ajprenal.00176.2007. Epub 2007 Aug 29.
Br J Obstet Gynaecol. 1994 Jan;101(1):22-8. doi: 10.1111/j.1471-0528.1994.tb13005.x.
4
Pudendal nerve damage increases the risk of fecal incontinence in women with anal sphincter rupture after childbirth.阴部神经损伤会增加分娩后肛门括约肌破裂的女性发生大便失禁的风险。
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Risk factors in childbirth causing damage to the pelvic floor innervation.分娩中导致盆底神经损伤的危险因素。
Int J Colorectal Dis. 1986 Jan;1(1):20-4. doi: 10.1007/BF01648831.
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Disposable pudendal nerve stimulator: evaluation of the standard instrument and new device.一次性阴部神经刺激器:标准器械与新装置的评估
Gut. 1988 Aug;29(8):1131-3. doi: 10.1136/gut.29.8.1131.
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Effect of vaginal delivery on the pelvic floor: a 5-year follow-up.阴道分娩对盆底的影响:一项5年随访研究
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Pelvic floor damage and childbirth: a neurophysiological study.
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