中国实用妇科与产科杂志2013，Vol.29Issue(5)：377-380,4.
会阴侧切对女性盆底功能的近期影响
Effect of episiotomy on the short-term function of the pelvic floor
李海英 1王忠民 1吴晓爽 1吕冲 1石媛 1杜春霞 1姜宏1
作者信息
摘要
Abstract
Objective To explore the effect of routine episiotomy and non-episiotomy on the short-term function of the pelvic floor function. Methods One hundred and sixteen healthy primipara women were interviewed at 6-8weeks post-partum ,who delivered naturally in Maternity Hospital of Dalian between Jan. 2012 and July 2012 ,episiotomy group(n = 70) ,non- episiotomy group(n =46). The two groups were compared in patients with post-natal clinical symptoms,pelvic floor function and structure by hand at 6 ~ 8 weeks postpartum . Results The prevalence of stress urinary incontinence (SUI)and perineal pain after delivery in the episiotomy group was higher than the non-episiotomy group respectively (P <0. 05). The prevalence of pelvic organ prolapse (POP) between the episiotomy group and the non- episiotomy group had no significant difference (P > 0. 05). Class I muscle fibers after delivery, the EMG value , muscle damage and fatigue of the episiotomy group were injured more seriously than the non-episiotomy group (P < 0. 05) , Class II muscle fibers damage after delivery, the EMG value of the episiotomy group was injured more seriously than the non- episiotomy group (P < 0. 05). Muscle damage and fatigue had no significant difference between the episiotomy group and the non- e-pisiotomy group (P > 0. 05). After delivery , the posterior urethrovesical angle (PUVA) and mobility of the urethrovesical junction ( UVJ-M ) of the episiotomy group was greater than the non-episiotomy group respectively ( P < 0. 05 ) . Conclusion Episiotomy injures on pelvic floor structure and function more seriously than non-episiotomy. Episiotomy can shorten the birth process effectively, but it could not play a protective role on recent pelvic floor function.关键词
盆底功能障碍性疾病/会阴侧切/盆底功能/膀胱尿道后角/膀胱颈活动度Key words
pelvic floor dysfunction disease / episiotomy/ pelvic floor function/ posterior urethrovesical angle/ mobility of urethrovesical junction分类
医药卫生引用本文复制引用
李海英,王忠民,吴晓爽,吕冲,石媛,杜春霞,姜宏..会阴侧切对女性盆底功能的近期影响[J].中国实用妇科与产科杂志,2013,29(5):377-380,4.
