The Application Value of 2D Ultrasound Combined with SWE Technique in the Evaluation of Rectus Abdominis in Pregnant Women

Miao HUANG; Fei XU; Aitao YIN; Yongping LU; Jiao YIN; Ting LI

doi:10.12259/j.issn.2095-610X.S20230917

Volume 44 Issue 9

Sep. 2023

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Miao HUANG, Fei XU, Aitao YIN, Yongping LU, Jiao YIN, Ting LI. The Application Value of 2D Ultrasound Combined with SWE Technique in the Evaluation of Rectus Abdominis in Pregnant Women[J]. Journal of Kunming Medical University, 2023, 44(9): 55-61. doi: 10.12259/j.issn.2095-610X.S20230917

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The Application Value of 2D Ultrasound Combined with SWE Technique in the Evaluation of Rectus Abdominis in Pregnant Women

doi: 10.12259/j.issn.2095-610X.S20230917

Dept. of Ultrasound，The Affiliated Hospital of Yunnan University， Kunming Yunnan 650021，China

Received Date: 2023-05-08
Available Online: 2023-09-14
Publish Date: 2023-09-30

Abstract

Abstract

Objective To evaluate the distance between rectus abdominis muscle （IRD）and the hardness of primipara during the pregnancy and early postpartum by using two-dimensional ultrasound combined with shear wave elastography （SWE）, and to explore the correlation between IRD and the hardness of primipara. Methods From October 2021 to August 2022, a total of 250 primipara who received the regular birth check-up in the Affiliated Hospital of Yunnan University and delivered at full term were selected. During the pregnancy, they were divided into the early pregnancy group, the middle pregnancy group and late pregnancy group based on the gestational age.After the birth, they were then were divided into the natural birth group and the cesarean section group based on the delivery mode. Another 50 healthy non-pregnant women were selected as the control group. The mean elastic modulus of rectus abdominis （Emean） was measured by two-dimensional ultrasound and SWE. The differences of IRD and the rectus abdominis hardness during the pregnancy and postpartum were compared, and the correlation between them was analyzed. Results IRD and the hardness increased with the gestational age and the difference was statistically significant （P < 0.01）. IRD of the cesarean section group was higher than that of the vaginal delivery group, and the hardness was lower than that of the vaginal delivery group. BMI during the pregnancy IRD was positively correlated with IRD and the hardness of rectus abdominis muscle （r_p = 0.515, 0.641, 0.564, 0.483, 0.513, 0.462, P < 0.01） and IRD was positively correlated with the hardness of rectus abdominis muscle （r_p = 0.559, 0.580, 0.425, P < 0.01）. Postpartum BMI had no correlation with the hardness of rectus abdominis muscle （r_p = −0.113, −0.071, −0.043, −0.005, −0.086, −0.045, P > 0.05）, and IRD was negatively correlated with the hardness at 3cm below the umbilical cord （r_p = −0.227, P = 0.023）. Conclusion It is feasible to evaluate IRD and the rectus abdominis hardness by 2D ultrasound combined with SWE, which can provide more intuitive clinical basis for the diagnosis and treatment of postpartum rectus abdominis separation.
- Two-dimensional ultrasound,
- Rectus abdominis,
- Shear wave elastography,
- Pregnancy,
- Postpartum

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