Magnetic resonance assessment of pelvic anatomy and pelvic floor disorders after childbirth.
Magnetic resonance assessment of pelvic anatomy and pelvic floor disorders after childbirth.
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DOI：
10.1007/s00192-008-0736-2
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发表时间：
2009-02
影响因子：
1.8
通讯作者：
Richter, Holly E.
中科院分区：
文献类型：
--
作者：
Handa, Victoria L.;Lockhart, Mark E.;Kenton, Kimberly S.;Bradley, Catherine S.;Fielding, Julia R.;Cundiff, Geoffrey W.;Salomon, Caryl G.;Hakim, Christiane;Ye, Wen;Richter, Holly E.
关键词：
比较首次分娩后6-12个月有或无盆底疾病的妇女的盆腔解剖结构，使用磁共振成像（MRI）。我们测量了246例产后骨盆骨和软组织的尺寸。比较了有无尿失禁或大便失禁、盆腔器官脱垂和产科肛门括约肌撕裂的妇女的盆腔解剖结构。由于多重比较，P<0.01被认为具有统计学显著性。更深的骶骨凹陷与大便失禁显著相关（p=0.005）。我们确定了尿失禁与结节间直径（p=0.017）和骨盆弓（p=0.017）之间的趋势。我们还注意到随着脱垂的增加，横向入口直径增加的趋势（p=0.034）。较短的前后出口与产科括约肌撕裂轻微相关（p=0.020）。后两种关联均无统计学显著性。MR评估盆腔解剖结构不能可靠地区分产后妇女子宫阴道脱垂或尿失禁或大便失禁的症状。
To compare pelvic anatomy, using magnetic resonance imaging (MRI), between women with or without pelvic floor disorders 6-12 months after a first delivery. We measured postpartum bony and soft tissue pelvic dimensions in 246 primiparas. Pelvic anatomy was compared between women with and without urinary or fecal incontinence, pelvic organ prolapse, and obstetrical anal sphincter lacerations. Because of multiple comparisons, P<0.01 was considered statistically significant. A deeper sacral hollow was significantly associated with fecal incontinence (p=0.005). We identified trends between urinary incontinence and a wider intertuberous diameter (p=0.017) and a wider pelvic arch (p=0.017). We also noted a trend in increasing transverse inlet diameter with increasing prolapse (p=0.034). A shorter anterioposterior outlet was marginally associated with obstetrical sphincter laceration (p=0.020). None of these latter associations were statistically significant. MR assessment of pelvic anatomy did not reliably distinguish postpartum women with uterovaginal prolapse or symptoms of urinary or fecal incontinence.
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