【摘要】 目的：比较高频超声检查与传统触诊方法诊断女性产后腹直肌分离的临床意义。方法：本次研究的主要对象为：产后腹直肌分离患者（共1168例，病例选取时间开始于2022年1月，截止时间为2022年12月）和未婚未育者（800例，作为对照组），均开展高频超声检查与传统触诊方法。产后腹直肌分离患者按照分娩方式的不同分为剖宫产组（600例）和自然分娩组（568例），产后均实施盆底康复治疗。结果：高频超声检查准确率明显高于传统触诊方法（P<0.05），对照组脐上3cm、脐水平、脐下3cm腹直肌间距明显比剖宫产组和自然分娩组更低（P<0.05），剖宫产组组脐上3cm、脐水平、脐下3cm腹直肌间距明显比自然分娩组更高（P<0.05）；超声评价盆底康复治疗效果：两组治疗前脐上3cm、脐水平、脐下2cm腹直肌间距比较差异有统计学意义（P>0.05），治疗后两组脐上3cm、脐水平、脐下3cm腹直肌间距比较差异无统计学意义（P<0.05）；治疗后脐上3cm、脐水平、脐下3cm腹直肌间距明显比治疗前更低（P<0.05）。结论：高频超声检查产后腹直肌分离患者的临床价值高于传统触诊方法。更多还原

【Abstract】 Objective: To compare the clinical significance of high-frequency ultrasound and traditional palpation in the diagnosis of postpartum rectus abdominis diastasis. Methods: The main objects of this study were postpartum patients with diastasis rectus abdominis(a total of 1168 cases, the case selection time began from January 2022 to December 2022) and unmarried and nulliparous women(800cases, as the control group). High-frequency ultrasound and traditional palpation methods were carried out. Postpartum patients with diastasis rectus abdominis were divided into cesarean section group(n=600) and natural delivery group(n=568) according to the different delivery mode. All patients received pelvic floor rehabilitation after delivery. Results: The accuracy of high-frequency ultrasonography was significantly higher than that of traditional palpation(P<0.05) The distance between the rectus abdominis 3cm above the umbilical cord, at the umbilical cord level, and 3cm below the umbilical cord in the control group were significantly lower than those in the cesarean section group and the natural delivery group(P<0.05); The distance between the rectus abdominis 3cm above the umbilicus, at the level of the umbilicus, and 3cm below the umbilicus in the cesarean section group was significantly higher than that in the natural delivery group(P<0.05); Ultrasound evaluation of pelvic floor rehabilitation treatment effect: there were significant differences in the distance of rectus abdominis muscle 3cm above the umbilical cord, umbilical level and 2cm below the umbilical cord between the two groups before treatment(P> 0.05). There were no significant differences in the distance of rectus abdominis muscle 3cm above the umbilical cord, umbilical level and 3cm below the umbilical cord between the two groups after treatment(P<0.05); After treatment, the distance between rectus abdominis 3cm above umbilical cord, umbilical level, and umbilical cord 3cm below umbilical cord was significantly lower than that before treatment(P<0.05). Conclusion: The clinical value of high-frequency ultrasound in postpartum patients with diastasis rectus abdominis is higher than that of traditional palpation method.更多还原