Application Of Pelvic Floor Ultrasound In The Early Postpartum Female Pelvic Floor Dysfunction

Objective To explore the application value of pelvic floor ultrasound in the evaluation of different modes of production and different stages of cesarean section in the early postpartum pelvic floor dysfunction disease,and to provide intuitive,scientific and effective clinical Imaging basis.Methods From December 2018 to December 2019,120 patients with pelvic floor ultrasound examination were selected.According to the mode of production and cesarean section in different stages of labor,the subjects were divided into the following four groups: case group a(vaginal natural delivery group),case group b(latent cesarean section group),case group c(active Post Cesarean section group),case group d(selective cesarean section group),30 cases in each group.Case group a + b + c + d is the fertile group;case group b + c + d is the cesarean section group;case group b + c is the non selective cesarean section group.In addition,30 healthy married women in the control group were selected.The pelvic floor of all subjects was scanned dynamically by pelvic floor ultrasound,and the corresponding ultrasound values were measured at rest and at the maximum vasalva state,as follows:(1)residual urine RUA;(2)detrusor thickness DT;(3)distance between bladder neck and reference lin e D1,D2;(4)urethra inclination angle α 1,α 2;(5)posterior angle β 1,β 2;(6)observe whether there is any residual urine RUA at the maximum vasalva state Open the internal orifice of urethra,rectocele,prolapse of uterus and cystocele.All data are measured three times,the average value is taken,and the image is stored.And calculated:(1)bladder neck mobility △ D;(2)urethra rotation angle △ α;(3)urethra opening rate;(4)pelvic organ prolapse rate.The above data were analyzed statistically.Results 1.Changes of measurement values of anterior chamber: 1.1 There was no statistically significant difference in R UA,DT,D1,α 1,β 1 among the subjects in the rest state(P > 0.05).In the resting state,no open formation of the urethra was found in all subjects.1.2 the changes of △ D,△ α,β 2 in the largest Valsalva state: 1.2.1 the △ D,△ α,β 2 in case group a,case group b,case group c,case group d were higher than those in control group,and the difference was statistically significant(P < 0.05);1.2.2 the difference was statistically significant(P < 0.05)between case group d and case group a,case group c;1.2.3 the difference of △ D,△ α,β 2 between case group b and case group a and case group c was statistically significant(P < 0.05).2.The opening rate of the internal orifice of the urethra in the maximum vasalva state: 2.1 the opening rate of the internal orifice of the case group was significantly higher than that of the control group(P < 0.05);2.2 the opening rate of the intern al orifice of the case group a was higher than that of the cesarean section group(case group b + c + d),and the difference was statistically significant(P < 0.05);2.3 the opening rate of the internal orifice of the urethra in the non selective cesarean section group(case group b + c)was higher than that of the case group d,the difference was statistically significant(P < 0.05);2.4 case group b and case group c,the difference was statistically significant(P < 0.05).3.The situation of pelvic organ prolapse under the maximum vasalva state: 3.1 the rate of pelvic organ prolapse in the case group was significantly higher than that in the control group(P < 0.05);3.2 the rate of pelvic organ prolapse in the case group a was statistically significant compared with that in the cesarean section group(case group b + c + d)(P < 0.05);3.3 the rate of pelvic organ in the non selective cesarean section group(case group b + c)and case group d,The difference was statistically significant(P < 0.05);3.4 between case group b and case group c,the difference was statistically significant(P < 0.05).Conclusion 1.Pelvic floor ultrasound can clearly show the anatomical structure and movement of the three chambers.2.Pelvic floor ultrasound can accurately evaluate the effect of cesarean section on the early postpartum pelvic floor dysfunction diseases in different modes of production and different stages of labor,and provide reliable imaging basis for the diagnosis of pelvic floor dysfunction diseases.