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第一次单子怀孕期间的盆底结构变化以及压力尿失禁的危险因素
Chuanqing Sun1, Hongyu Yang1, Keting Li1
1Department of Ultrasound, Shanghai First Maternal and Infant Hospital East Courtyard Campus (Affiliated Obstetrics and Gynecology Hospital of Tongji University), 2699 West Gaoke Road, Pudong New Area, Shanghai, 200120, China.
BMC pregnancy and childbirth
|May 9, 2025
概括
怀孕显著影响盆底结构,随着妊娠的进展,增加压力尿失禁 (SUI) 的风险. 超声波揭示了与SUI相关的骨盆底参数的变化,强调怀孕是关键因素.
科学领域:
- 产科和妇科 产科和妇科
- 盆地地板成像技术 盆地地板成像技术
- 女性的盆腔医学
背景情况:
- 盆地功能障碍 (PFD) 影响盆地肌肉和带.
- 阴道分娩是PFD的已知危险因素.
- 怀孕本身对PFD的影响,特别是压力尿失禁 (SUI),不太清楚.
研究的目的:
- 在怀孕期间调查骨盆地超声波参数的变化.
- 评估这些参数与SUI发生之间的关联.
主要方法:
- 从2022年3月到2023年12月招募孕妇参与者.
- 使用三维超声波来评估盆底解剖学.
- 管理标准化问卷以评估症状和收集数据.
主要成果:
- 随着妊娠阶段的增加,SUI的发生率显著增加 (5.34%的孕期第一季度,23.31%的第二季度,47.72%的第三季度).
- 随着怀孕的进展,观察到间隙区域 (HA),间隙直径,骨盆底肌收缩 (PFMC) 和阴道体积 (VM) 的显著变化.
- 身体质量指数 (BMI),休息时的缺口区域和休息时和PFMC期间的缺口前后直径被确定为SUI的独立风险因素.
结论:
- 骨盆地结构在怀孕期间发生变化.
- 缺口区域随着怀孕的进展逐渐增加.
- 这些结构变化与SUI的风险增加有关.
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