Translabial three-dimensional ultrasound investigation of the levator hiatus in postpartum women

Verfasser / Beitragende:
[Xue-Mei Wang, Xin Chang, Yan Ding, Su-Zhen Wang, Yin Zhen, Jing-Xin Ding, Fan-Bin Kong]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Medical Ultrasonics, 42/3(2015-07-01), 373-378
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10396-014-0609-x  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10396-014-0609-x 
245 0 0 |a Translabial three-dimensional ultrasound investigation of the levator hiatus in postpartum women  |h [Elektronische Daten]  |c [Xue-Mei Wang, Xin Chang, Yan Ding, Su-Zhen Wang, Yin Zhen, Jing-Xin Ding, Fan-Bin Kong] 
520 3 |a Purpose: This study utilized translabial three-dimensional ultrasound to investigate the morphological characteristics of the levator hiatus and provide sonographic evidence for assessing pelvic floor dysfunction in postpartum women. Methods: Two-hundred and one singleton primiparae without any complications underwent translabial three-dimensional ultrasound at 6 and 18weeks after delivery, with 12 participants lost to follow-up at 18weeks. Fifty nulliparae were enrolled as the control group. Levator hiatal morphology at rest and on Valsalva maneuver was assessed by experienced sonographers, specifically evaluating the anteroposterior diameter, left-to-right diameter, and area. Results: In postpartum women at 6weeks after delivery, all the levator hiatal parameters were significantly higher compared with those of the control group. At 18weeks, the hiatal parameters were better than at 6weeks but still higher than in the nulliparous controls. In all three groups, the hiatal parameters were significantly higher during the Valsalva maneuver than at rest. Conclusions: Postpartum women are prone to develop pelvic floor dysfunction as shown by an enlarged levator hiatus. Translabial three-dimensional ultrasound can be used to effectively assess the morphology and structural alterations of the levator hiatus in postpartum women, providing reliable pelvic floor imaging for early screening, diagnosis, and prevention of pelvic floor dysfunction. 
540 |a The Japan Society of Ultrasonics in Medicine, 2015 
690 7 |a Three-dimensional ultrasound  |2 nationallicence 
690 7 |a Pelvic floor dysfunction  |2 nationallicence 
690 7 |a Levator hiatus  |2 nationallicence 
690 7 |a Postpartum  |2 nationallicence 
700 1 |a Wang  |D Xue-Mei  |u Department of Ultrasound, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China  |4 aut 
700 1 |a Chang  |D Xin  |u Huai'an First People's Hospital, Nanjing Medical University, Jiangsu, China  |4 aut 
700 1 |a Ding  |D Yan  |u Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China  |4 aut 
700 1 |a Wang  |D Su-Zhen  |u Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China  |4 aut 
700 1 |a Zhen  |D Yin  |u Huai'an First People's Hospital, Nanjing Medical University, Jiangsu, China  |4 aut 
700 1 |a Ding  |D Jing-Xin  |u Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China  |4 aut 
700 1 |a Kong  |D Fan-Bin  |u Department of Ultrasound, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China  |4 aut 
773 0 |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/3(2015-07-01), 373-378  |x 1346-4523  |q 42:3<373  |1 2015  |2 42  |o 10396 
856 4 0 |u https://doi.org/10.1007/s10396-014-0609-x  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10396-014-0609-x  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Xue-Mei  |u Department of Ultrasound, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chang  |D Xin  |u Huai'an First People's Hospital, Nanjing Medical University, Jiangsu, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ding  |D Yan  |u Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Su-Zhen  |u Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhen  |D Yin  |u Huai'an First People's Hospital, Nanjing Medical University, Jiangsu, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ding  |D Jing-Xin  |u Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kong  |D Fan-Bin  |u Department of Ultrasound, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/3(2015-07-01), 373-378  |x 1346-4523  |q 42:3<373  |1 2015  |2 42  |o 10396