4D盆底超声评估经阴道分娩初产妇肛提肌的应用进展-国际妇产科研究-CSCIED科技核心评价数据库-手机版

4D盆底超声评估经阴道分娩初产妇肛提肌的应用进展

Application progress of 4D pelvic floor ultrasound in evaluating levator ani muscleof primipara delivered via vagina

ES评分 0 浏览量：921 下载量：0

DOI	10.12208/j.ijog.20230010
刊名	国际妇产科研究 International Journal of Obstetrics and Gynecology
年，卷(期)	2023, 3(2)
作者	赵津艺¹,周江英²*,刘婷¹,李蔚¹,谭雪艳¹,胥卉苹¹,刘蓉¹,
作者单位	1 成都市温江区人民医院超声医学科四川成都 ; 2 成都医学院第一附属医院超声医学科四川成都 ;
摘要	经会阴四维（four-dimensional，4D）盆底超声作为近年来发展起来的新的影像学热门技术，已广泛运用于盆底结构的观察、测量及功能的评估，初次经阴道分娩对盆底肛提肌会造成不同程度的损伤，4D盆底超声能够实时定量评估经阴道分娩初产妇肛提肌裂孔在各个实相的形态参数及变化情况，为临床早期诊断产后女性盆腔脏器脱垂（pelvic organ prolapse，POP）提供有效方法，本文对此种检查方法在评估经阴道分娩初产妇肛提肌的应用现状进行综述，并展望4D盆底超声在盆底领域的临床应用。
Abstract	Four dimensional (4D) transperineal pelvic floor ultrasound, as a new popular imaging technology developed in recent years, has been widely used in the observation, measurement and function evaluation of pelvic floor structure. The first vaginal delivery will cause different degrees of damage to the levator ani muscle of the pelvic floor. 4D pelvic floor ultrasound can quantitatively evaluate the morphological parameters and changes of the levator ani tear in each real phase of the vaginal delivery of primipara, In order to provide an effective method for early clinical diagnosis of postpartum female pelvic organ prolapse (POP), this article reviews the application of this examination method in evaluating the levator ani muscle of primipara who delivered via vagina, and looks forward to the clinical application of 4D pelvic floor ultrasound in the field of pelvic floor.
关键词	4D盆底超声；肛提肌；初产妇；阴道分娩
KeyWord	4D pelvic floor ultrasound; Levator ani; Primiparous women; Vaginal delivery
基金项目
页码	13-18

参考文献
相关文献

[1] 朱兰,郎景和.女性盆底学第2版
[M].北京:人民卫生出版社, 2014:16.

[2] Dietz HP,Abbu A,Shek KL.The levator-urethra gap measurement: a more objective means of determining levator avulsion
[J]. Ultrasound Obstet Gynecol, 2008, 32(07): 941-945.

[3] 寇燕妮,马晓梅,张晶锐.腔内三维超声量化肛提肌损伤程度与盆腔脏器脱垂相关性研究
[J].医学影像学杂志, 2018,28(07):126-128,132.

[4] 王莹,鲁虹霞,冯桂婷.四维盆底超声在初产妇盆底功能障碍性疾病中的运用
[J].重庆医学, 2020,49(10):1669-1671.

[5] 周慧清,尚华,李晓冬,等.女性盆底肌解剖与功能
[J].解剖学杂志, 2020,43(5) :434-437.

[6] Chung MY,Wan O,Cheung R,et al.Prevalence of levator ani muscle injury and health-related Quality of life in primiparous Chinese women after instrumental delivery
[J]. Ultrasound Obstet Gynecol, 2015,45(6):728-733.

[7] 谭云欢,崔璐,林晓丽,等.盆底肌锻炼对分娩方式及产后盆底功能的影响
[J].中国卫生标准管理, 2019, 10(13): 157-159.

[8] 邵丽华,陶亮,陈刚.低位直肠癌保留部分肛提肌重建盆底的改良经肛提肌外腹会阴联合切除手术
[J].中国肿瘤外科杂志, 2021,13(02):122-126.

[9] Flusberg M,Kobi M,Bahrami S,et al.Multimodality imaging of pelvic floor anatomy
[J]. Abdominal Radiology , 2021, 46( 4): 1302-1311.

[10] Friedman T,Eslick GD,Dietz HP.Delivery mode and the risk of levator muscle avulsion:a meta-analysis
[J]. International Urogynecology Journal, 2019,30(6):901-907.

[11] Keller S,Wang Z J,Aigner A,et al.Diffusion tensor imaging of dystrophic skeletal muscle
[J].Clinical Neuroradiology, 2019,29(2): 231-242.

[12] Dietz HP, Shek K L.Levator defects can be detected by 2D translabia ultrasound
[J]. International Urogynecology Journal, 2009, 20(7): 807-811.

[13] 陈小敏,邓学东.盆底功能障碍性疾病的诊断研究进展
[J].中华医学超声杂志, 2018,15(12): 912-915.

[14] 张玉秀,邢静,王一清,等.经会阴四维盆底超声对初产妇盆底功能障碍性疾病的研究
[J].医学影像学杂志, 2021,31(5): 846-849．

[15] 朱一平,郭道宁,袁王丹,等.四维盆底超声联合实时剪切波弹性成像评价初产妇不同分娩方式对产后盆腔功能的影响
[J].生物医学工程与临床, 2023,27(1): 47-52.

[16] 包佳文,林能文,彭建国.四维盆底超声在不同分娩方式女性盆底结构和功能判断中的应用价值
[J].临床和实验医学杂志, 2022,9(21):1891-1894.

[17] 蒋莹,刘静华,刘丽.会阴超声观察不同分娩方式产后女性盆腔器官位置及移动度的变化
[J].中国妇幼卫生杂志, 2018,9(1):44-47.

[18] Aguilar- Zafra S, del Corral T, et al.Pelvic floor dysfunction negatively impacts general functional performance in patients with multiple multiple sclerosis
[J].Neurourol Urodyn, 2020, 39( 3) :978-986.

[19] 唐冰.经会阴四维盆底超声评估不同分娩方式对产后肛提肌及其裂孔的影响
[D].桂林.桂林医学院, 2022.

[20] Blomquist JL, Muñoz A, Carroll M, et al. Association of Delivery Mode With Pelvic Floor Disorders After Childbirth
[J]. JAMA, 2018,320(23): 2438-2447.

[21] Dietz HP, Lanzarone F.Levator trauma after vaginal delivery
[J].Obstetrics and Gynecology, 2005,06(4):707-712．

[22] Caudwell-Hall J, Kamisan Atan I, Guzman Rojas R, et al. Atrau-matic normal vaginal delivery: how many women get what they want?
[J]. Am J Obstet Gynecol, 2018,219(4): 379.e1-379.e8.

[23] Garcia-Mejido JA, Gutierrez L, Fernandez-Palacín A, et al. Levator ani muscle injuries associated with vaginal vacuum assisted delivery determined by 3/4D transperineal ultrasound
[J]. J Matern Fetal Neonatal Med, 2017,30(16):1891-1896.

[24] 吴晓琳,张彬,任力娟,等.肛提肌损伤的多学科研究进展
[J].中华腔镜泌尿外科杂志, 2020,14(2):153-157.

[25] 黄燕,侯庆兵.盆底超声联合TUI成像技术对脏器脱垂患者盆膈裂孔的显像特征
[J].中国计划生育学杂志, 2020,28(2):284-287.

[26] Kamisan Atan Ixora, Lin Sylvia, Dietz Hans Peter,et al.Levator ani muscle avulsion: Digital palpation versus tomographic ultrasound imaging
[J]. International Journal of Gynecology & Obstetrics, 2021,156(2):270-275.

[27] Dietz HP, Bernardo M J, Kirby A,et al. Minimal criteria for the diagnosis of avulsion of the puborectalis muscle by tomographic ultrasound
[J]. International Urogynecology Journal, 2011, 22(6):699-704.

[28] 徐莲,刘菲菲,陶均佳,等.肛提肌尿道间隙评价产后女性肛提肌损伤的初步应用
[J].中华超声影像学杂志, 2013,22(7):602-605.

[29] Dietz HP, Garnham AP, Rojas RG. Is the levator urethra gap helpful for diagnosing avulsion?
[J]. Int Urogynecol J, 2016,27(6):909-913.

[30] 秦学敏,柏根基,盛文伟,等.三维盆底超声检查联合盆底肌力评估在产后盆底功能中的应用
[J].中国超声医学杂志, 2019,35(12):1112-1114.

[31] Ashton-Miller JA, Delancey JO. On the Biomechanics of Vaginal Birth and Common Sequelae
[J]. Annu Rev Biomed Eng, 2009,11:163-176.

[32] 刘岩松.经会阴三维超声动态观察生育后无盆底功能障碍女性不同状态下肛提肌裂孔形态变化
[J].哈尔滨医药, 2021,41(4):83-85.

[33] 曹韵清,黄伟俊,温影红,等.盆底三维超声评估肛提肌损伤对盆腔器官脱垂的价值
[J].海南医学, 2019, 30(12): 1571-1574.

[34] 老兆航.探讨经会阴盆底四维超声在椎管内镇痛分娩及会阴侧切分娩后早期预测SUI发生的临床价值
[J].基层医学论坛, 2022,26(10):8-10.

[35] 顾萍.椎管内阻滞用于分娩镇痛对初产妇盆底功能障碍性疾病（PFD）发生的影响
[J].当代医学, 2021, 27(9): 160-162.

[36] 叶楠,宁荣萍,等.三维超声检测不同分娩方式及第二产程产妇肛提肌裂孔差异
[J].影像科与光化学, 2022, 40(1): 180-183.

[37] 赵莎挺,任祖华,陈莉莉,等.椎管内阻滞用于分娩镇痛对初产妇盆底功能障碍性疾病发生的影响
[J].中国妇幼保健, 2021,36(2):312-315.

[38] Lipschuetz M, Cohen SM, Lewkowicz A A, et al. Prolonged second stage of labor: Causes and outcomes
[J]. Harefuah, 2018, 157(11): 685-690.

[39] 娄迎阁.经会阴四维盆底超声立体成像检测初产妇盆底肌及盆膈裂孔异常
[J].医药论坛, 2020,41(8):53-55.

[40] 林艳,李梁瑜,张翠萍,等.自然分娩盆底功能障碍性疾病产妇经阴道四维超声诊断效果观察
[J].深圳中西医结合杂志, 2019,29(20):60-62.

[41] 程有生,陈玉梅,金玲.经会阴四维超声成像对自然分娩后产妇盆底功能异常的应用意义
[J].影像研究与医学应用, 2019,3(8):65-66.

[42] 黎敏.行盆底康复训练治疗盆底功能障碍性疾病的护理干预方法研究
[J].中国实用药, 2018,13(19):172-174.

[43] 谢琼,高园,骈林萍.经会阴超声检查剖宫产分娩后盆底功能障碍的临床价值
[J].医学影像学杂志, 2019, 29(3): 510-513.

[44] 邓舒昊,江泉,朱一成,等.四维盆底超声评价不同分娩方式与盆腔器官脱垂的相关性
[J].肿瘤影像学, 2018, 27(1): 27-31.

[45] 陈刚.经会阴四维盆底超声立体成像评估盆底功能康复的价值
[J].西藏医药, 2022,43(6):22-24.

[46] 蒋云秀,官逸群.经会阴三维超声联合剪切波弹性成像评估经阴道分娩对肛提肌的影响
[J].临床超声医学杂志, 2019,21(9):694-696.

[47] 朱大年.生理学第7版
[ M ].北京:人民卫生出版社, 2011: 35-44.

[48] 郝真真.实时剪切波弹性成像联合经阴四维超声在自然分娩初产妇产后盆底功能评估中的应用
[J].河南医学研究, 2021,30(36):6875-6877.

[49] 岳青芬,邢燕,王颢,等.盆底康复治疗对流产所致不孕不育患者封闭抗体表达的影响及意义
[J].中国妇幼保健, 2020,35(3):510-513.

[50] 姚继芹,陈蕾,丁延华,等.经会阴四维盆底超声评价TVT术的临床价值
[J].现代实用医学, 2021,33(11):1492-1494.

[51] 刘婷,徐小琴,曾小贞.四维超声在POP患者微创术后复发预测中的应用
[J].深圳中西医结合杂志, 2022, 32(3): 92-94.

引用本文

赵津艺,周江英*,刘婷,李蔚,谭雪艳,胥卉苹,刘蓉. 4D盆底超声评估经阴道分娩初产妇肛提肌的应用进展 [J]. 国际妇产科研究. 2023; 3; (2). 13 - 18.

文献评论

相关学者

相关机构