Correlation between of delivery mode and pelvic organ prolapse evaluated by four-dimensional pelvic floor ultrasonography

DENG Shuhao; JIANG Quan; ZHU Yicheng; ZHANG Yuan

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Correlation between of delivery mode and pelvic organ prolapse evaluated by four-dimensional pelvic floor ultrasonography

更新时间：2026-06-18

- Correlation between of delivery mode and pelvic organ prolapse evaluated by four-dimensional pelvic floor ultrasonography
- Vol. 27, Issue 1, Pages: 27-31(2018)
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  CLC：
- Online First：03 April 2018，
  
  Published：03 April 2018
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邓舒昊,江泉,朱一成,等. 四维盆底超声评价不同分娩方式与盆腔器官脱垂的相关性[J]. 肿瘤影像学, 2018, 27(1): 27-31
DOI：

邓舒昊,江泉,朱一成,等. 四维盆底超声评价不同分娩方式与盆腔器官脱垂的相关性[J]. 肿瘤影像学, 2018, 27(1): 27-31 DOI：

摘要

目的：

采用四维盆底超声分析不同分娩方式与盆腔器官脱垂（pelvic organ prolapse，POP）症状和体征之间的关系。

方法：

选取578例行妇产科超声检查的妇女，采用临床问卷调查及妇产科医师询问病史获得患者生育史和临床检查资料。采用四维盆底超声量化脱垂，将入选妇女分成4组，观察脱垂症状、国际尿控协会（International Continence Society，ICS）脱垂定量体系（pelvic organ prolapse quantification，POP-Q）评分，以及超声前、中、后盆腔的脱垂表现。

结果：

产妇发生POP的概率（POP-Q评估膀胱脱垂15.6%、子宫脱垂11.1%、直肠膨出20.0%；超声检测依次为6.7%、8.9%和13.3%）和剖宫产妇女患POP的概率较低（POP-Q评估依次为24.1%、6.4%、24.0%；超声检测依次为13.0%、8.5%、25.9%）。使用过产钳者患POP的概率较高（POP-Q评估依次为59.6%、 50.8%和63.2%；超声检测依次为45.6%、52.6%和42.1%）。与剖宫产组脱垂症状比较，调整后的比值比在正常经阴道分娩和产钳组分别为2.4（95%CI：1.30～4.59）和3.2（95%CI：1.65～6.12）。

结论：

经阴道分娩与POP发生相关。四维盆底超声有操作简便、可重复及无辐射等优势，可作为POP的首选检查方法。

Abstract

Objective:

To analyze the relationship between delivery mode and symptoms and signs of pelvic organ prolapse (POP) evaluated by four-dimensional pelvic floor ultrasonography.

Methods:

A total of 578 women who underwent gynecological ultrasonography were enrolled in this study. Fertility history and clinical data were obtained from clinical questionnaires and gynecologists. The data were collected by four-dimensional pelvic ultrasound. Wome

n were divided into four groups and the symptoms and signs of POP were compared among these groups. To observe prolapse symptoms

visual analogue scale (VAS) score for prolapse bother

International Continence Society (ICS) pelvic organ prolapse quantification (POP-Q) and ultrasound findings of anterior

middle and posterior compartment prolapse were used.

Results:

Nulliparae showed the lowest probability of POP (POP-Q: cystoptosis of 15.6%

metroptosis of 11.1%

rectocele of 20.0%; ultrasound: 6.7%

8.9%

13.3% in sequence)

followed by caesarean section (POP-Q: 24.1%

6.4%

24.0% in sequence; ultrasound: 13.0%

8.5%

25.9% in sequence). Women with history of using forceps had the highest probability of POP (POP-Q: 59.6%

50.8%

63.2% in sequence; ultrasound: 45.6%

52.6%

42.1% in sequence). Compared with the cesarean section group

the adjusted odds ratio was 2.4 (95%CI: 1.30-4.59) and 3.2 (95%CI: 1.65-6.12) in the normal vaginal delivery group and forceps group.

Conclusion:

There is a significant correlation between vaginal delivery and POP. Four-dimensional pelvic floor ultrasonography

which has the advantages of easy-operation

repeatibility

no radiation

can be used as the preferred method of diagnosis of POP.

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