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目的:对比研究阴道分娩和剖宫产两种不同分娩方式对产后压力性尿失禁的影响。方法:将阴道分娩51例、剖宫产47例产妇纳入研究,对手术资料进行分析,并嘱所有产妇进行产后复查,具体时间在4～12周。结果:经阴道分娩产妇12例出现产后压力性尿失禁,尿失禁发生率23.53%;经剖宫产手术产妇4例出现产后压力性尿失禁,尿失禁发生率8.51%,差异有统计学意义(P<0.05)。结论:经阴道分娩产妇在产后比剖宫产手术者更容易出现压力性尿失禁,其原因可能与盆底神经和肌肉的损伤有关,临床分娩时应注意尽量避免损伤盆底的神经、肌肉。
Objective: To compare the effects of vaginal delivery and cesarean delivery on postpartum stress urinary incontinence. Methods: Fifty-one cases of vaginal delivery and 47 cases of cesarean section were included in the study. The surgical data were analyzed and all the mothers were asked to conduct post-natal review. The specific time ranged from 4 to 12 weeks. Results: Postpartum stress urinary incontinence and urinary incontinence were found in 12 cases of vaginal delivery. The incidence of urinary incontinence was 23.53%. Postpartum stress urinary incontinence and incontinence were found in 4 cases of cesarean section. The incidence of urinary incontinence was 8.51% P <0.05). Conclusion: Transvaginal delivery of maternal postpartum caesarean section than those prone to stress urinary incontinence, the reason may be related to the pelvic floor nerves and muscle damage related to clinical delivery should be taken to avoid damage to the pelvic floor nerves, muscles.