阴道手术助产相关产后盆底功能障碍性疾病的研究进展
Research Progress on Postpartum Pelvic Floor Dysfunction Diseases Associated with Operative Vaginal Birth
DOI: 10.12677/ACM.2023.1391940, PDF,    科研立项经费支持
作者: 袁 婷, 李 敏, 郭 鑫：西安医学院研究生处，陕西 西安；魏君香, 贺译平*：西北妇女儿童医院产科，陕西 西安
关键词: 阴道手术助产；产钳；胎头吸引器；盆底功能障碍性疾病；母儿并发症；Operative Vaginal Birth； Forceps； Fetal Head Aspirator； Pelvic Floor Dysfunction Diseases； Maternal and Infant Complications
摘要: 阴道手术助产包括产钳助产和胎头吸引器助产，在产科分娩过程中，尤其在第二产程中处理难产，加快胎儿经阴道娩出有着不可替代的地位，对降低剖宫产率以及提高阴道分娩率起重要作用。接受阴道手术助产的产妇在产后会出现程度不同的尿失禁、盆腔脏器脱垂、粪失禁、盆腔慢性疼痛等症状，被称为盆底功能障碍性疾病。本综述旨在查阅相干文献的基础上，拟就目前阴道手术助产相关产后盆底功能障碍性疾病的研究进展进行阐述。
Abstract: Operative vaginal birth includes forceps and fetal head aspirator assisted delivery, in the process of obstetric delivery, especially in the second stage of labor to deal with dystocia, which accelerating the vaginal delivery of the fetus has an irreplaceable position, to reduce the rate of cesarean section and improve the rate of vaginal delivery plays an important role. Women who receive vaginal sur-gery to deliver will have different degrees of urinary incontinence, pelvic organ propossion, fecal incontinence, chronic pelvic pain and other symptoms after childbirth, which is called pelvic floor dysfunction disease. This review aims to review the relevant literature and elaborate on the current research progress on postpartum pelvic floor dysfunction diseases related to operative vaginal birth.
文章引用：袁婷, 魏君香, 李敏, 郭鑫, 贺译平. 阴道手术助产相关产后盆底功能障碍性疾病的研究进展[J]. 临床医学进展, 2023, 13(9): 13880-13886. https://doi.org/10.12677/ACM.2023.1391940

参考文献

[1] 王琦, 程贤鹦. 初产妇产后早期盆底功能障碍性疾病与分娩相关因素分析[J]. 中华全科医学, 2022, 20(1): 76-79.
[2] 中华医学会妇产科学分会产科学组. 阴道手术助产指南(2016) [J]. 中华妇产科杂志, 2016, 51(8): 565-567.
[3] 中华医学会妇产科学分会产科学组, 中华医学会围产医学分会. 正常分娩指南[J]. 中华围产医学杂志, 2020, 23(6): 361-370.
[4] Cargill, Y.M., Mackinnon, C.J., Arsenault, M.Y., et al. (2004) Guidelines for Opera-tive Vaginal Birth. Journal of Obstetrics and Gynaecology Canada, 26, 747-761. [Google Scholar] [CrossRef] 
[5] Murphy, D.J., Strachan, B.K. and Bahl, R. (2020) Assisted Vaginal Birth: Green-Top Guideline No. 26. BJOG: An International Journal of Obstetrics & Gynaecology, 127, e70-e112. [Google Scholar] [CrossRef] [PubMed]
[6] (2020) Operative Vaginal Birth: ACOG Practice Bulletin, Number 219. Obstetrics & Gynecology, 135, e149-e159. [Google Scholar] [CrossRef] 
[7] 欧阳丽萍, 李玲, 范建辉. 阴道助产对初产妇产后早期盆底功能的影响[J]. 新医学, 2022, 53(12): 921-925.
[8] Murphy, D.J., Macleod, M., Bahl, R. and Strachan, B. (2011) A Cohort Study of Maternal and Neonatal Morbidity in Relation to Use of Sequential Instruments at Operative Vaginal Delivery. European Journal of Obstetrics & Gynecology and Reproductive Biology, 156, 41-45. [Google Scholar] [CrossRef] [PubMed]
[9] Gardella, C., Taylor, M., Benedetti, T., Hitti, J. and Critchlow, C. (2001) The Effect of Sequential Use of Vacuum and Forceps for Assisted Vaginal Delivery on Neonatal and Maternal Outcomes. American Journal of Obstetrics & Gynecology, 185, 896-902. [Google Scholar] [CrossRef] [PubMed]
[10] 张兰. 盆底超声检查在女性盆底障碍性疾病中的临床应用价值[J]. 影像研究与医学应用, 2019, 3(13): 203-205.
[11] 罗丹丹, 成宏, 倪程. 盆底动态核磁共振在女性压力性尿失禁合并盆腔器官脱垂患者诊断评估中的临床价值[J]. 中国性科学, 2020, 29(1): 67-71.
[12] Urbankova, I., Grohre-gin, K., Hanacek, J., et al. (2019) The Effect of the First Vaginal Birth on Pelvic Floor Anatomy and Dysfunction. Inter-national Urogynecology Journal, 30, 1689-1696. [Google Scholar] [CrossRef] [PubMed]
[13] 马丹, 马巧媛. 产后尿失禁的发生现状及影响因素分析[J]. 中国临床医生杂志, 2021, 49(7): 853-856.
[14] 周维敏, 施锦金, 黄彩仙. 产后盆底功能障碍性疾病影响因素分析[J]. 中国妇幼保健, 2021, 36(15): 3583-3585.
[15] Hendrix, S.L., Clark, A., Nygaard, I., et al. (2002) Pelvic Organ Prolapse in the Women’s Health Initiative: Gravity and Gravidity. American Journal of Obstetrics & Gynecology, 186, 1160-1166. [Google Scholar] [CrossRef] [PubMed]
[16] 李海英, 石媛, 王忠民. 产钳术与胎头吸引器助产对女性盆底功能的近期影响[J]. 中华临床医师杂志(电子版), 2012, 6(24): 8340-8342.
[17] Atan, I.K., Lin, S., Dietz, H.P., et al. (2018) Levator Avulsion Is Associated with Pelvic Organ Prolapse 23 Years after the First Childbirth. Journal of Ultra-sound in Medicine, 37, 2829-2839. [Google Scholar] [CrossRef] [PubMed]
[18] Davé, B.A., Leader-Cramer, A., Mueller, M., et al. (2016) Anal Sphincter Injuries after Operative Vaginal versus Spontaneous Delivery—Is There a Dif-ference in Postpartum Symptoms? Female Pelvic Medicine & Reconstructive Surgery, 22, 194-198. [Google Scholar] [CrossRef] 
[19] Parant, O., Simon-Toulza, C., Cristini, C., et al. (2010) Fae-cal Incontinence after First Instrumental Vaginal Delivery Using Thierry’s Spatulas. International Urogynecology Jour-nal, 21, 1195-1203. [Google Scholar] [CrossRef] [PubMed]
[20] Macleod, M., Goyder, K., Howarth, L., et al. (2013) Morbidity Experienced by Women before and after Operative Vaginal Delivery: Prospective Cohort Study Nested within a Two-Centre Randomised Controlled Trial of Restrictive versus Routine Use of Episiotomy. BJOG: An International Journal of Obstetrics & Gynaecology, 120, 1020-1026. [Google Scholar] [CrossRef] [PubMed]
[21] 罗健敏, 梁敏仪, 梁建好. 新产程标准中第二产程时长对产后盆底功能障碍性疾病的影响研究[J]. 名医, 2020(8): 68-69.
[22] 林丽卿, 邓清玉, 孙蓬明, 等. 产后盆腔器官脱垂的影响因素调查[J]. 中国妇幼保健, 2019, 34(19): 4540-4544.

为你推荐