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目的:探讨分娩方式对盆底支持组织的影响。方法:随机抽取2011年分娩的产妇100例,根据不同分娩方式分为选择性剖宫产组(50例)和顺产组(50例)。对入选产妇产后6～8周内盆底支持组织进行检查:①采用阴道前壁点(阴道前壁脱出离处女膜最远处)与处女膜之间距离来描述盆底松弛程度。②压力性尿失禁采用两项诊断标准。结果:压迫实验比较,差异均有统计学意义(P<0.05),超声波检查结果比较差异有统计学意义(P<0.05),盆底松弛比较差异有统计学意义(P<0.05)。结论:剖宫产可以减少对盆底支持组织的损伤。
Objective: To investigate the effect of mode of delivery on pelvic floor tissue. Methods: 100 cases of maternal delivery in 2011 were randomly divided into selective cesarean section group (50 cases) and cesarean section group (50 cases) according to different modes of delivery. Pelvic floor support tissues were examined within 6 to 8 weeks postpartum among selected mothers. ① The distance between the anterior vaginal wall (the anterior vaginal wall prolapsed at the furthest distance from the hymen) and the hymen was used to describe the pelvic floor relaxation. ② stress urinary incontinence using two diagnostic criteria. Results: There was significant difference between the two groups (P <0.05). There was significant difference between the two groups (P <0.05). The difference of pelvic floor relaxation was statistically significant (P <0.05). Conclusion: Caesarean section can reduce the damage to pelvic floor supportive tissue.