Abstract
Objective to explore the diagnostic value of perineal four-dimensional ultrasound (4D-US) in postpartum pelvic floor dysfunction (PFD) disease. 328 postpartum PFD patients diagnosed by clinical pelvic floor palpation from June 2018 to December 2020 were selected as the PFD group, and 328 patients without PFD were selected as the control group. All participants underwent perineal 4D-US, the indicators were statistically analyzed. The results showed that the LAT of left and right, LHLR, LHAP, LHA, resting state and holding the breath in the PFD group were higher than those in the control group, and the difference was statistically significant (P<0.05). From cervix to lower margin of pubic symphysis, bladder to lower margin of pubic symphysis of the pubic symphysis, and from the ampulla of the rectum to the lower margin of the pubic symphysis, the PFD group was larger than the control group, but the result of urethral rotation was reversed, and the difference was statistically significant (P<0.05). The morphologic features of the levator ani muscle and pelvic fissure can be detected early using 4D-US, which is a reliable technique that can be learned in a short period of time.
Highlights
Pelvic floor dysfunction (PFD) is a disease caused by the damage, degeneration, defect or dysfunction of the pelvic support structure
General materials 328 postpartum PFD patients diagnosed by clinical pelvic floor palpation from June 2018 to December 2020 were selected as the PFD group, aged 22-39 years, with an average age of (29.65±2.21) years
2D-US examination of the perineum showed that the pelvic diaphragm hiatus was rhomboid in the resting state, and the rectum and vagina were compact and neatly arranged
Summary
Pelvic floor dysfunction (PFD) is a disease caused by the damage, degeneration, defect or dysfunction of the pelvic support structure. Natural delivery through the vagina is an independent risk factor for PFD that causes varying degrees of damage to the pelvic floor support tissue [1,2]. With the continuous development and improvement of ultrasound technology, the use of ultrasound to examine the pelvic floor structure after childbirth has the advantages of noninvasive, simple operation, and high repeatability. It helps to clarify the pelvic floor tissue damage in time and guides the pelvic floor as soon as possible after childbirth. The purpose of this study was to explore diagnostic value of 4D-US to diagnose postpartum PFD, and the results can provide a reliable basis for clinical investigation of female pelvic floor abnormality and guidance of pelvic floor rehabilitation
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
