医学临床研究
醫學臨床研究
의학림상연구
Journal of Clinical Research
2015年
8期
1584-1586
,共3页
骨盆底%内脏下垂/超声检查%脱垂%会阴
骨盆底%內髒下垂/超聲檢查%脫垂%會陰
골분저%내장하수/초성검사%탈수%회음
Pelvic Floor%Visceral Prolapse/US%Prolapse%Perineum
【目的】探究经会阴超声在女性产后前盆腔脏器脱垂(anterior pelvic organ prolapse,aPOP)中的评估价值。【方法】收集经临床盆腔器官脱垂量化分期(POP-Q)评估诊断为 aPOP 初产妇患者68例,所有入选患者均接受经会阴三维超声检查,参考线为耻骨联合下缘的水平线,在最大 Valsalva 动作时对尿道和膀胱后壁运动情况观察,对膀胱尿道后角以及尿道倾斜角进行测量,并对经会阴超声与临床 POP-Q 评估结果进行一致性检验。【结果】68例患者中 POP-Q 评估诊断膀胱尿道膨出 Green Ⅱ型28例,Green Ⅲ型40例。经会阴三维超声诊断 Green Ⅱ型29例,膀胱尿道后角为164.27°±9.56°,尿道旋转角为76.32°±12.26°；GreenⅢ型39例,膀胱尿道后角为95.76°±9.74°,尿道旋转角为26.86°±12.45°,POP-Q 评估诊断与会阴三维超声检查的一致性较好(Kappa=0.55,P <0.001)。【结论】经会阴三维超声能够定量评估 POP 的脱垂程度,且与临床 POP-Q 评价一致性较好,可以为临床量化诊断 POP 的影像学检查方法。
【目的】探究經會陰超聲在女性產後前盆腔髒器脫垂(anterior pelvic organ prolapse,aPOP)中的評估價值。【方法】收集經臨床盆腔器官脫垂量化分期(POP-Q)評估診斷為 aPOP 初產婦患者68例,所有入選患者均接受經會陰三維超聲檢查,參攷線為恥骨聯閤下緣的水平線,在最大 Valsalva 動作時對尿道和膀胱後壁運動情況觀察,對膀胱尿道後角以及尿道傾斜角進行測量,併對經會陰超聲與臨床 POP-Q 評估結果進行一緻性檢驗。【結果】68例患者中 POP-Q 評估診斷膀胱尿道膨齣 Green Ⅱ型28例,Green Ⅲ型40例。經會陰三維超聲診斷 Green Ⅱ型29例,膀胱尿道後角為164.27°±9.56°,尿道鏇轉角為76.32°±12.26°；GreenⅢ型39例,膀胱尿道後角為95.76°±9.74°,尿道鏇轉角為26.86°±12.45°,POP-Q 評估診斷與會陰三維超聲檢查的一緻性較好(Kappa=0.55,P <0.001)。【結論】經會陰三維超聲能夠定量評估 POP 的脫垂程度,且與臨床 POP-Q 評價一緻性較好,可以為臨床量化診斷 POP 的影像學檢查方法。
【목적】탐구경회음초성재녀성산후전분강장기탈수(anterior pelvic organ prolapse,aPOP)중적평고개치。【방법】수집경림상분강기관탈수양화분기(POP-Q)평고진단위 aPOP 초산부환자68례,소유입선환자균접수경회음삼유초성검사,삼고선위치골연합하연적수평선,재최대 Valsalva 동작시대뇨도화방광후벽운동정황관찰,대방광뇨도후각이급뇨도경사각진행측량,병대경회음초성여림상 POP-Q 평고결과진행일치성검험。【결과】68례환자중 POP-Q 평고진단방광뇨도팽출 Green Ⅱ형28례,Green Ⅲ형40례。경회음삼유초성진단 Green Ⅱ형29례,방광뇨도후각위164.27°±9.56°,뇨도선전각위76.32°±12.26°；GreenⅢ형39례,방광뇨도후각위95.76°±9.74°,뇨도선전각위26.86°±12.45°,POP-Q 평고진단여회음삼유초성검사적일치성교호(Kappa=0.55,P <0.001)。【결론】경회음삼유초성능구정량평고 POP 적탈수정도,차여림상 POP-Q 평개일치성교호,가이위림상양화진단 POP 적영상학검사방법。
[Objective]To explore the clinical evaluation of transperineal ultrasound for female postpartum anterior pelvic organ prolapse(aPOP).[Methods]Sixty-eight primiparas with aPOP ,diagnosed by Clinical pel-vic organ prolapse quantitative stage (POP-Q),were admitted to our hospital from 2013 October to 2014 De-cember.All patients were underwent transperineal three-dimensional ultrasound.The horizontal line of the lower edge of the symphysis pubis served as reference line,at the largest Valsalva action,the urethra and blad-der of wall motion after were observed,the posterior urethra vesical and urethral inclination angle were meas-ured and the transperineal ultrasound results and clinical POP-Q assessment results were made consistency test.[Results]Cystourethrocele Green Ⅱ was diagnosed in 28 patients,and Green Ⅲ in 40 cases with POP-Q, while Green Ⅱ diagnosed in 29 patients,and Green Ⅲ in 39 cases with transperineal ultrasound.Ultrasonic findings showed good agreement with clinical POP-Q Examination (Kappa = 0.55,P <0.001).[Conclusion]Transperineal ultrasonography can be used to evaluate aPOP and it has high correlation to POP-Q examination. Transperineal ultrasonography is a more objective method than POP-Q in clinical practice.
