Pelvic Floor Tthree-dimensional Ultrasound Evaluating Postpartum Pelvic Floor Dysfunction in Elderly Parturient Women

Fan MA; Xiaoxiao WU; Xilin CHU; Ying ZHANG

doi:10.12259/j.issn.2095-610X.S20230616

Volume 44 Issue 6

Jun. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(6): 64-69

Fan MA, Xiaoxiao WU, Xilin CHU, Ying ZHANG. Pelvic Floor Tthree-dimensional Ultrasound Evaluating Postpartum Pelvic Floor Dysfunction in Elderly Parturient Women[J]. Journal of Kunming Medical University, 2023, 44(6): 64-69. doi: 10.12259/j.issn.2095-610X.S20230616

Citation:

Fan MA, Xiaoxiao WU, Xilin CHU, Ying ZHANG. Pelvic Floor Tthree-dimensional Ultrasound Evaluating Postpartum Pelvic Floor Dysfunction in Elderly Parturient Women[J]. Journal of Kunming Medical University, 2023, 44(6): 64-69. doi: 10.12259/j.issn.2095-610X.S20230616

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Pelvic Floor Tthree-dimensional Ultrasound Evaluating Postpartum Pelvic Floor Dysfunction in Elderly Parturient Women

doi: 10.12259/j.issn.2095-610X.S20230616

Gynecologic Ultrasound Division，Department of Ultrasound，Yuxi People’s Hospital，Yuxi Yunnan 653100，China

Received Date: 2023-02-27
Available Online: 2023-06-19
Publish Date: 2023-06-25

Abstract

Abstract

Objective To explore the changes of pelvic floor structure and function in early postpartum period of elderly parturient women by two-dimensional and three-dimensional ultrasound. Method A total of 86 early postpartum （6-8 weeks） elderly parturients admitted to our hospital from July 2021 to January 2023 were selected as the observation group, and 50 early postpartum parturients admitted during the same period were selected as the control group. All study subjects underwent pelvic floor two-dimensional and three-dimensional ultrasound diagnosis. The two groups of maternal pelvic floor two-dimensional ultrasound evaluation parameters, three-dimensional ultrasound evaluation parameters were compared. The diagnostic efficacy of pelvic floor 2D and 3D ultrasound was compared for puerperal pelvic fIoor dysfunction （PFD） in women of appropriate age and advanced age. Result The observation group showed significantly higher levels of resting bladder neck position （BNP）, posterior urethral angle （PUA）, Valsalva maneuver BNP level, and bladder neck desent （BND） compared to the control group （P < 0.05）. Levator hiatal anteroposterior diameter （LHAP）, levator hiatal lateral diameter （LHLP）, and levator hiatal area （LHA） when performing Valsalva maneuver were significantly higher than that of the control group （P < 0.05）. The sensitivity and accuracy of pelvic floor three-dimensional ultrasound （92.59%） were significantly higher than those of two-dimensional ultrasound （70.37%, 77.91%）（P < 0.05）. Conclusion Functional and structural changes of the pelvic floor are more likely to occur in older women in the early postpartum period. Compared with two-dimensional ultrasound, three-dimensional pelvic floor ultrasound is more helpful to improve the diagnostic efficiency of PFD.
- Age-appropriate maternity,
- Elderly parturient women,
- Three dimensional ultrasound,
- Two dimensional ultrasound,
- Postpartum,
- Pelvic floor structure

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References(15)

References

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