CAJ | 학술논문

目的：通过磁共振成像(MRI)检查对盆腔器官脱垂(POP)患者进行分级,分别采用耻骨尾骨线(PCL)及耻骨中轴线(MPL)为参考线,探讨其与盆腔器官脱垂定量分期法(POP-Q)所得结果的相关性。方法收集 POP 患者32例,行动态 MRI 检查,以PCL及 MPL作为参考线进行分级,结果与POP-Q分级结果进行相关性比较。结果 MPL 作为参考线时,前、中盆腔 MRI分级与POP-Q分级一致性较好(前部κ=0.44,SE=0.13；中部κ=0.46,SE=0.12),而后盆腔一致性一般(κ=0.23,SE=0.10)。而PCL作为参考线时,前、中、后盆腔与POP-Q分级的一致性均较差(前盆腔κ=0.07,SE =0.14；中盆腔κ=0.06,SE=0.05；后盆腔κ=-0.51,SE=0.09)。结论 MPL作为参考线,POP的 MRI分级与POP-Q分级一致性优于PCL。
목적：통과자공진성상(MRI)검사대분강기관탈수(POP)환자진행분급,분별채용치골미골선(PCL)급치골중축선(MPL)위삼고선,탐토기여분강기관탈수정량분기법(POP-Q)소득결과적상관성。방법수집 POP 환자32례,행동태 MRI 검사,이PCL급 MPL작위삼고선진행분급,결과여POP-Q분급결과진행상관성비교。결과 MPL 작위삼고선시,전、중분강 MRI분급여POP-Q분급일치성교호(전부κ=0.44,SE=0.13；중부κ=0.46,SE=0.12),이후분강일치성일반(κ=0.23,SE=0.10)。이PCL작위삼고선시,전、중、후분강여POP-Q분급적일치성균교차(전분강κ=0.07,SE =0.14；중분강κ=0.06,SE=0.05；후분강κ=-0.51,SE=0.09)。결론 MPL작위삼고선,POP적 MRI분급여POP-Q분급일치성우우PCL。
Objective To assess the correlation between magnetic resonance imaging (MRI)and clinical staging of pelvic organ prolapse (POP)by using pubococcygeal line (PCL)and midpubic line (MPL)respectively.And to determine which(MRI)reference line for staging pelvic organ prolapse had the highest agreement with clinical staging.Methods A retrospective study of 32 women with pelvic organ prolapse who underwent dynamic pelvic MRI from Jan 2013 to May 2013 was conducted.One radiologist staged descent on MRI for each pelvic compartment (anterior,middle,posterior),using PCL and MPL lines.Agreement between MRI and clinical staging was estimated respectively.Results Thirty-two women were included.Agreement between clinical and MPL staging was morderate in the anterior (κ=0.44,SE=0.13)and middle compartment (κ=0.46,SE=0.12),but fair in the posterior com-partment (κ=0.23,SE=0.10).Agreement between clinical and PCL staging was poor in all compartments of pelvic.Conclusion MPL appeared more reliable and simple than the PCL for the evaluation of pelvic prolapse on MRI.