Pelvic Floor Ultrasound Analysis Of The Influence Of Different Delivery Methods On The Early Pelvic Floor Structure Of Primipara

Purpose: This study uses three-dimensional ultrasound of the pelvic floor to study the pelvic floor organs,to explore the influence of different delivery methods on the early pelvic floor anatomy of the primipara,and to provide imaging references for early clinical interventions and selection of treatment methods.The early detection of pelvic floor dysfunction after delivery has very important clinical significance.Methods: A total of 60 primipara women who underwent routine gynecological B-ultrasound and pelvic ultrasound examinations in Shijiazhuang Peoples Hospital from January 2019 to December 2019 were selected as the experimental group.All the puerpera examined were selected within 6-10 weeks postpartum,the ages are all between 20-35 years old,including 30 cases in the vaginal natural delivery group and 30 cases in the elective cesarean section group,which are defined as group I and group II,and21 outpatient clinics in our hospital are selected non-pregnant women with normal ultrasound pelvic floor examination were used as the control group in this experiment and defined as group III.There should be no statistically significant differences between the experimental group and the control group in terms of height,age,and body mass index.Collect and select the changes in the anatomical position of the pelvic floor organs and levator ani muscle in the transperineal pelvic floor ultrasound experimental group and the control group,and measure and record the resting state,the bladder neck mobility(BUN)and the urethral rotation angle(UR),bladder posterior angle(RUA),levator ani hiatus area(ALH)and other related data,and statistical analysis of each group of data.Results:1.Comparison between the vaginal natural delivery group and the non-birth control group: in the resting state and Valsalva movement,the bladder neck movement,urethral rotation angle,bladder posterior angle,and levator ani hiatus area,those in the vaginal natural delivery group were significantly larger than no-birth control group,P<0.05,which is statistically significant.2.Comparison between the selective cesarean section group and the non-birth control group: in the resting state and Valsalva movement,the bladder neck movement,the urethral rotation angle,the bladder posterior angle and the levator ani hiatus area were compared,cesarean section group were larger than the non-birth control group,P<0.05,the difference was statistically significant.3.Comparison between the vaginal natural delivery group and the selective cesarean section group: in the resting state and Valsalva action,the two experimental groups were examined in the bladder meridian movement,urethral rotation angle,bladder posterior angle and levator ani muscle hole area.In terms of comparison,the vaginal natural delivery group were greater than the selective cesarean section group,P<0.05,indicating statistical significance.4.Comparing the vaginal natural delivery group,the selective cesarean section group and the non-birth control group,when collecting data and processing after weaning,it was found that the morphology of the levator ani muscle hiatus of some parturient women who gave birth through the vagina appeared obvious asymmetry,part of the echo is not uniform,and even part of the puborectalis muscle echo becomes weak and reduced.Conclusions:1.Childbirth and pregnancy will cause varying degrees of damage to the anatomical structure of the pelvic floor of women,which may be an important reason for the early occurrence of pelvic floor dysfunction in primiparas.2.Compared with cesarean delivery,vaginal delivery has a larger area of levator ani hiatus,more movement of the bladder neck,greater bladder posterior angle and urethral rotation angle.3.Transperineal pelvic floor ultrasound can clearly,objectively and dynamically display the morphology of female pelvic organs.It can detect morphological changes in women’s pelvic floor anatomy at an early stage,and can be used as a dynamic observation of pelvic floor structure changes.One of the imaging techniques provides a powerful reference for the early diagnosis and treatment of female pelvic floor dysfunction diseases,so as to provide clinical guidance for timely prevention and intervention of patients with pelvic floor dysfunction diseases(FPFD).4.The occurrence and development of Pelvic floor dysfunction disease in parturient can be evaluated by transvaginal delivery and Cesarean section at6-10 weeks after delivery.The main cause of pelvic organ prolapse is the thinning of pelvic floor tissue,pelvic organs support the role of the decline,leading to pelvic organ decline,mostly due to female childbirth.It can be seen that the ultrasonic examination of the pelvic floor of parturient with different delivery methods has higher clinical value.