Neuropathic injury to the levator ani occurs in 1 in 4 primiparous women
Neuropathic injury to the levator ani occurs in 1 in 4 primiparous women
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DOI：
10.1016/j.ajog.2006.06.062
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发表时间：
2006-12-01
影响因子：
9.8
通讯作者：
Romero, A. A.
中科院分区：
文献类型：
--
作者：
Weidner, A. C.;Jamison, M. G.;Romero, A. A.
目的：我们测量提肛肌神经肌肉功能之前和之后的第一次交付，以确定的位置，时间和机制injure.Study designs：58产妇进行了肌电图检查的提肛肌产前在6周和6个月后交付。合并产前旋转/振幅数据以创建正常范围。我们计算了每个女人的离群值的百分比，从这个范围内，并评估交付和程度injure.Results之间的关系：在6周，14 58名妇女（24.1%）有神经病变，与9这14名妇女恢复6个月。在6个月时，58名妇女中有17名（29.3%）为神经病性，其中包括12例新损伤。妇女选择性剖宫产几乎没有伤害，但所有其他方式的交付有类似的损伤rate.Conclusion：产科分娩往往与神经性损伤的肌电图证据提肛肌。整个提上睑肌复合体都处于危险之中，在分娩时进行剖腹产是没有保护作用的。(c)2006 Mosby，Inc. All rights reserved.
Objective: We measured levator am neuromuscular function before and after first delivery to identify the location, timing, and mechanism of injury.Study design: Fifty-eight primiparous women underwent electromyographic examination of the levator am antepartum at 6 weeks and 6 months after the delivery. Antepartum turns/amplitude data were pooled to create a normal range. We calculated each woman's percentage of outliers from this range and assessed relationships between delivery and extent of injury.Results: At 6 weeks, 14 of 58 women (24.1 %) had neuropathy, with 9 of those 14 women recovering by 6 months. At 6 months, 17 of 58 women (29.3%) were neuropathic, which included 12 new injuries. Women who had elective cesarean delivery had virtually no injury, but all other modes of delivery had similar injury rates.Conclusion: Obstetric delivery is associated frequently with electromyographic evidence of neuropathic injury to the levator ani. The entire levator complex is at risk, and cesarean delivery while in labor is not protective. (c) 2006 Mosby, Inc. All rights reserved.