Volume 24 Issue 4
Apr.  2026
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(4): 638-640
FANG Jing, WANG Mengjuan, CHEN Guo. Diagnostic value of pelvic floor ultrasound and diastasis recti assessment in the evaluating pelvic floor function and postpartum stress urinary incontinence[J]. Chinese Journal of General Practice, 2026, 24(4): 638-640. doi: 10.16766/j.cnki.issn.1674-4152.004458
Citation: FANG Jing, WANG Mengjuan, CHEN Guo. Diagnostic value of pelvic floor ultrasound and diastasis recti assessment in the evaluating pelvic floor function and postpartum stress urinary incontinence[J]. Chinese Journal of General Practice, 2026, 24(4): 638-640. doi: 10.16766/j.cnki.issn.1674-4152.004458
shu

Diagnostic value of pelvic floor ultrasound and diastasis recti assessment in the evaluating pelvic floor function and postpartum stress urinary incontinence

doi: 10.16766/j.cnki.issn.1674-4152.004458
  • 1.

    Maternal and Child Health Center, Anhui Medical University, Hefei, Anhui 230001, China

Funds:

 WKZX2024DN0144

 202204295107020048

  • Received Date: 2025-07-19
    Abstract
  •   Objective  To explore the relationship between pelvic floor ultrasound parameters and the degree of rectus abdominis diastasis in postpartum women, and to analyze their diagnostic value for stress urinary incontinence (SUI).  Methods  A retrospective analysis was performed on 307 postpartum women who had undergone vaginal delivery and attended the Maternal and Child Health Center, Anhui Medical University from February 2022 to October 2024. The bladder neck mobility (BND), urethral rotation angle (URA), latissimus dorsi muscle cleavage area (LHA), and bladder posterior angle (BA), as well as rectus abdominis muscle spacing measured during maximal Valsalva maneuver (at the umbilical level, 3 cm above the umbilicus, and 3 cm below the umbilicus), were collected. According to the outpatient medical records, participants were divided into 61 cases of SUI group and 246 cases of non-SUI group. Differences between the two groups were compared, and the independent and combined diagnostic values of the indexes were evaluated by multivariate logistic regression and ROC curve analyses.  Results  The BND, URA, and LHA were significantly higher in the SUI group than in the non-SUI group (P < 0.001). The rectus abdominis muscle spacing at the umbilical level was also higher in the SUI group than in the non-SUI group (P < 0.001). No statistically significant differences were observed in BA, 3 cm above the umbilicus, or 3 cm below the umbilicus (P> 0.05). After multifactorial logistic regression analysis identified BND, URA, LHA, and rectus abdominis muscle spacing at the umbilical level as independent influencing factors for postnatal SUI (P < 0.05). ROC curves showed that the areas under the curve for BND, URA, LHA, and rectus abdominis muscle spacing at the umbilical level were 0.794, 0.814, 0.782, and 0.716, respectively (P < 0.001), while the combined area under the curve could reached 0.886.  Conclusion  Maternal pelvic floor ultrasound indexes and abdominis muscle spacing at the umbilical level demonstrate clinical diagnostic value for the diagnosis of SUI.

     

    • FullText(HTML)
  • loading
    • References(19)
  • [1]
    STROEDER R, RADOSA J, CLEMENS L, et al. Urogynecology in obstetrics: impact of pregnancy and delivery on pelvic floor disorders, a prospective longitudinal observational pilot study[J]. Arch Gynecol Obstet, 2021, 304(2): 401-408. doi: 10.1007/s00404-021-06022-w
    [2]
    CAVALLI M, AIOLFI A, BRUNI P G, et al. Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation[J]. Hernia, 2021, 25(4): 883-890. doi: 10.1007/s10029-021-02468-8
    [3]
    YOU C, ZHAO Y J, ZHANG C, et al. Pelvic floor parameters predict postpartum stress urinary incontinence: a prospective MRI study[J]. Insights Imag, 2023, 14(1): 160. DOI: 10.1186/s13244-023-01488-5.
    [4]
    LIU X H, WANG Q, CHEN Y L, et al. Factors associated with stress urinary incontinence and diastasis of rectus abdominis in women at 6-8 weeks postpartum[J]. Urogynecology (Phila), 2023, 29(10): 844-850. doi: 10.1097/SPV.0000000000001353
    [5]
    GONZÁLEZ-TIMONEDA A, VALLES-MURCIA N, MUÑOZ ESTEBAN P, et al. Prevalence and impact of pelvic floor dysfunctions on quality of life in women 5-10 years after their first vaginal or caesarian delivery[J]. Heliyon, 2025, 11(3): e42018. DOI: 10.1016/j.heliyon.2025.e42018.
    [6]
    刘闪闪, 方悦, 周一波. 盆底超声评估女性混合性尿失禁疗效的临床研究[J]. 中华全科医学, 2025, 23(1): 107-110.

    LIU S S, FANG Y, ZHOU Y B. Study on the pelvic floor ultrasound for evaluating the therapeutic effect level of mixed urinary incontinence in women[J]. Chinese Journal of General Practice, 2025, 23(1): 107-110.
    [7]
    李多, 鲁蓉. 盆底超声评估女性肛提肌形态及功能的研究进展[J]. 中南大学学报(医学版), 2023, 48(8): 1267-1273.

    LI D, LU R. Research progress in pelvic floor ultrasound for assessing the morphology and function of levator ani muscle in women[J]. Journal of Central South University (Medical Science), 2023, 48(8): 1267-1273.
    [8]
    张小航, 张凤娟, 全丽娟, 等. 三维盆底超声参数与不同BMI阴道分娩产妇产后盆底功能的关系及对SUI的预测价值[J]. 中国妇幼保健, 2024, 39(20): 4103-4106.

    ZHANG X H, ZHANG F J, et al. NOT_FOUND[J]. Maternal and Child Health Care of China, 2024, 39(20): 4103-4106.
    [9]
    SKOURA A, BILLIS E, PAPANIKOLAOU D T, et al. Diastasis recti abdominis rehabilitation in the postpartum period: a scoping review of current clinical practice[J]. Int Urogynecol J, 2024, 35(3): 491-520. doi: 10.1007/s00192-024-05727-1
    [10]
    THABET A A, ALSHEHRI M A. Efficacy of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial[J]. J Musculoskelet Neuronal Interact, 2019, 19(1): 62-68.
    [11]
    中华医学会妇产科学分会妇科盆底学组. 女性压力性尿失禁诊断和治疗指南(2017)[J]. 中华妇产科杂志, 2017, 52(5): 289-293.

    Pelvic Floor Disease Group, Obstetrics and Gynecology Branch of Chinese Medical Association. NOT_FOUND[J]. Chinese Journal of Obstetrics and Gynecology, 2017, 52(5): 289-293.
    [12]
    孙世甜, 殷伟红. 盆底超声诊断产后早期压力性尿失禁的研究进展[J]. 山东医药, 2022, 62(19): 109-112.

    SUN S T, YIN W H. Research progress of pelvic floor ultrasound in the diagnosis of early postpartum stress urinary incontinence[J]. Shandong Medical Journal, 2022, 62(19): 109-112.
    [13]
    DELANCEY J O L, MASTELING M, PIPITONE F, et al. Pelvic floor injury during vaginal birth is life-altering and preventable: what can we do about it?[J]. Am J Obstet Gynecol, 2024, 230(3): 279-294. e272. doi: 10.1016/j.ajog.2023.11.1253
    [14]
    吴凤姬, 陈梅. 经会阴三维超声测量肛提肌裂孔面积及形态诊断产后子宫脱垂的价值[J]. 现代医用影像学, 2024, 33(6): 1099-1102.

    WU F J, CHEN M. The Value of Measuring the Hiatus Area and Shape of Levator Anal Muscle by Three-Dimensional Perineal Ultrasonography in the Diagnosis of Postpartum Uterine Prolapse[J]. Modern Medical Imaging, 2024, 33(6): 1099-1102.
    [15]
    WANG X X, ZHANG L, LU Y. Advances in the molecular pathogenesis and cell therapy of stress urinary incontinence[J]. Front Cell Dev Biol, 2023, 11: 1090386. DOI: 10.3389/fcell.2023.1090386.
    [16]
    MOHR S, RAIO L, GOBRECHT-KELLER U, et al. Postpartum urinary retention: what are the sequelae? A long-term study and review of the literature[J]. Int Urogynecol J, 2022, 33(6): 1601-1608. doi: 10.1007/s00192-021-05074-5
    [17]
    LAFRAMBOISE F C, SCHLAFF R A, BARUTH M. Postpartum exercise intervention targeting diastasis recti abdominis[J]. Int J Exerc Sci, 2021, 14(3): 400-409.
    [18]
    GLUPPE S, ENGH M E, BØ K. What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis[J]. Braz J Phys Ther, 2021, 25(6): 664-675. doi: 10.1016/j.bjpt.2021.06.006
    [19]
    刘禹彤, 姜伊娜, 王春光, 等. 超声评估经阴道分娩产妇肛提肌裂孔面积与腹直肌距离及其相关性研究[J]. 医学影像学杂志, 2023, 33(12): 2257-2260.

    LIU Y T, JIANG Y N, et al. NOT_FOUND[J]. Journal of Medical Imaging, 2023, 33(12): 2257-2260.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (10) PDF downloads(3) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return