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| Effects of Real-time Transperineal Three-dimensional Ultrasound in Different Mode of Delivery of Postpartum Stress Urinary Incontinence |
| Longgang Maternal and Child Health Hospital，Shenzhen 518172，China |
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Abstract Objective：To investigate the effect of different delivery modes on stress urinary incontinence by transperineal three-dimensional ultrasound.Method：The author to，312 patients of urinary incontinence were selected and diagnosed in our hospital，the treatment-related data was analyzed.The patients were divided into two groups depending on the mode of delivery， the control group of 150 cases were treated by vaginal delivery，the experimental group of 162 cases were treated by caesarean section.The patients were used transperineal three-dimensional ultrasound examination，the impact of different delivery methods for postpartum stress urinary incontinence were analyzed. Result：The experimental group BND was（ 2.32±0.56）cm， levator hiatus during quiet area was（ 15.2±1.9）cm2，the maximum Valsalva maneuver levator hiatus area was（ 20.1±4.5）cm2， lower than the control group BND of （2.61±0.49）cm，levator hiatus during quiet area of（ 17.3±2.0）cm2， the maximum Valsalva maneuver levator hiatus area of（ 22.3±3.9）cm2，the difference was statistically significant（P<0.05）.The experimental group after 6 months postpartum voiding status score were（ 2.53±0.44）points， urination after 12 months postpartum condition score were（ 1.86±0.33）points，lower than that in the control group；the experimental group 6 months postpartum pelvic floor muscle strength score for（ 3.18±0.43） points， after 12 months postpartum pelvic floor muscle strength score of（ 4.46±0.42） points，higher than the control group， the difference was statistically significant（P<0.05）. Conclusion：The prevalence of stress urinary incontinence is higher，using the transperineal three-dimensional ultrasound to observe SUI， the effect is ideal and different ways of delivery has impact for SUI.
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