现代妇产科进展2025，Vol.34Issue(11)：835-839,5.DOI:10.13283/j.cnki.xdfckjz.2025.11.003
急产对初产妇产后盆底功能状态的近期影响
Short-term effects of precipitate labor on postpartum pelvic floor function in primipa-rous women
孟燕平 1洪凡真 1赵晨 2洪海洁1
作者信息
- 1. 山东大学齐鲁第二医院 产科,济南 250033
- 2. 山东大学齐鲁第二医院 医学影像学中心超声科,济南 250033
- 折叠
摘要
Abstract
Objective:To evaluate the short-term effects of precipitate labor on postpar-tum pelvic floor ultrasound parameters in primiparous women with singleton pregnancies.Meth-ods:A retrospective analysis was conducted on 366 primiparous women who delivered vaginally at the Second Qilu Hospital of Shandong University from January 2022 to January 2025.Partici-pants were divided into a precipitate labor group(n=162)and a normal labor group(n=204)based on labor duration.All subjects underwent transperineal pelvic floor ultrasound 6～9 weeks postpartum.Differences in pelvic floor ultrasound parameters between the two groups were compared.Results:No statistically significant differences were observed between the pre-cipitate and normal labor groups in bladder neck position,urethrovesical angle,urethral inclina-tion angle at rest,or rectal prolapse rates(P>0.05).The precipitate labor group exhibited sig-nificantly higher postvoid residual urine volume,bladder prolapse rate,uterine prolapse rate,u-rethral inclination angle,urethral rotation angle,bladder neck mobility,and levator hiatus area during Valsalva maneuver compared to the normal labor group(P<0.05).Conclusion:Precipi-tate labor causes more severe early postpartum pelvic floor structural damage in primiparous women compared to normal labor.Enhanced postpartum pelvic floor ultrasound monitoring and early rehabilitation interventions are recommended.关键词
盆底功能障碍性疾病/产程/急产/盆底超声/Valsalva动作/肛提肌裂孔/盆腔脏器脱垂/盆底肌电评估Key words
Pelvic floor dysfunction/Labor duration/Precipitate labor/Pelvic floor ul-trasound/Valsalva maneuver/Levator hiatus/Pelvic organ prolapse/Pelvic floor electromyography分类
临床医学引用本文复制引用
孟燕平,洪凡真,赵晨,洪海洁..急产对初产妇产后盆底功能状态的近期影响[J].现代妇产科进展,2025,34(11):835-839,5.
