Evaluation Value of Pelvic Floor Ultrasound on Pelvic Floor Muscle Func-tion in Full-term Parturients and Analysis of Influencing Factors
ZONG Tingting
SUN Jing
XU Chunling
Abstract：Objective To explore the value of pelvic floor ultrasound in the evaluation of pelvic floor muscle function in full-term parturients,and to analyze the factors affecting pelvic floor muscle function in full-term parturients.Methods A total of 61 full-term parturients who underwent postpartum follow-up from December 2020 to July 2024 were selected.Accord-ing to the contractility of pelvic floor muscle,they were divided into the poor contractility group(n=40)and the good con-tractility group(n=21).All parturients underwent pelvic floor ultrasound examination.Clinical data and pelvic floor ultra-sound parameters(posterior vesicourethral angle,bladder neck mobility)of the two groups were compared.Receiver operating characteristic(ROC)curve was used to analyze the evaluation value of pelvic floor ultrasound parameters on pelvic floor mus-cle contractility of full-term parturients,and multivariate logistic regression was performed to analyze the influencing factors of pelvic floor muscle contractility in full-term parturients.Results The age of the poor contractility group was higher than that of the good contractility group,and the proportion of women with diabetes history,labor,vaginal delivery and perineal lacera-tion was higher than that of the good contractility group(P＜0.05,P＜0.01).The posterior vesicourethral angle and bladder neck mobility under Valsalva movement in the poor contractility group was greater than that in the good contractility group(P＜0.01).ROC curve analysis showed that posterior vesicourethral angle and bladder neck mobility under Valsalva move-ment had a better value in evaluating the contractility of pelvic floor muscle in full-term parturients,and the efficiency of the combined evaluation was better.Multivariate logistic regression analysis showed that age,diabetes history,labor,vaginal de-livery and perineal laceration were all risk factors for the contractility of pelvic floor muscle in full-term parturients(P＜0.05,P＜0.01).Conclusion Pelvic floor ultrasound can evaluate postpartum pelvic floor muscle function in full-term parturients.Age,history of diabetes,labor,vaginal delivery and perineal laceration can affect contractility of postpartum pelvic floor mus-cle in full-term parturients.Timely intervention of these factors can reduce the risk of pelvic floor muscle dysfunction in full-term parturients.
Keywords：Pelvic floor ultrasoundFull-term parturientPelvic floor muscle functionPosterior vesicourethral an-gleBladder neck mobilityDiagnostic valueAnalysis of influencing factor
Publication Date：2025-04-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 63-67 )