The Effect of Gestational Diabetes Mellitus on the Pelvic Floor-A Two-Dimensional Gray-Scale Histogram Study.

IF 1.2 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-04-23 DOI:10.1002/jcu.24038

Gul Nihal Buyuk, Mahmut Kuntay Kokanali, Eda Ureyen Ozdemir, Banu Seven, Melike Doğanay

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引用次数: 0

Abstract

Purpose: This study aimed to analyze the effect of gestational diabetes mellitus (GDM) on the mean echogenicity of the puborectalis muscle (MEP).

Methods: This prospective case-control study included pregnant women who applied to the antenatal clinic between February 2023 and April 2024. Pregnant women complicated by gestational diabetes constituted the GDM group. Patients not diagnosed with gestational diabetes were included in the Control group. MEP assessment and progress from 24th to 36th weeks of gestation were analyzed by the two-dimensional volumetric gray-scale histograms.

Results: A total of 130 pregnant women, 30 in the Insulin-use group, 49 in the Diet-regulated group, and 51 in the Control group. MEP values in the GDM group were significantly higher at the third trimester at rest and on maximum pelvic floor muscle contraction than those in the Control group. Twenty-fourth to 36th weeks MEP rest difference and 24th-36th weeks MEP contraction difference were significantly higher in the GDM group than those in the Control group.

Conclusions: Measuring echogenicity may help us understand what happens in the pelvic floor muscles after pregnancy complicated by GDM. We need to evaluate the pelvic floor more rationally using ultrasound in patients with gestational diabetes and be alert to possible pelvic floor damage.

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妊娠期糖尿病对盆底的影响——二维灰度直方图研究。

目的：探讨妊娠期糖尿病（GDM）对耻骨直肠肌（MEP）平均回声强度的影响。方法：本前瞻性病例对照研究纳入2023年2月至2024年4月期间到产前门诊就诊的孕妇。合并妊娠期糖尿病的孕妇为GDM组。未诊断为妊娠期糖尿病的患者被纳入对照组。采用二维体积灰度直方图分析妊娠24 ~ 36周MEP评价及进展情况。结果：共130例孕妇，胰岛素使用组30例，饮食调节组49例，对照组51例。妊娠晚期静息和骨盆底肌最大收缩时，GDM组MEP值明显高于对照组。GDM组第24 ~ 36周MEP休息差和第24 ~ 36周MEP收缩差均显著高于对照组。结论：测量回声强度可以帮助我们了解妊娠合并GDM后盆底肌肉的变化。妊娠期糖尿病患者应更合理地应用超声评估盆底，警惕盆底损伤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.