{"title":"不同耻骨尾骨线对盆腔器官脱垂定量诊断的评价。","authors":"Min Li, Sumei Wang, Tongtong Liu, Xiao Liu","doi":"10.1007/s00192-024-06021-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The objective was to elucidate the clinical utility of two reference lines, the pubosacrococcygeal joint line (PCL<sub>jnt</sub>) and pubococcygeal joint line (PCL<sub>cc</sub>), in the quantitative diagnosis of pelvic organ prolapse (POP) and pelvic floor laxity.</p><p><strong>Methods: </strong>A retrospective analysis of magnetic resonance defecography (MRD) in patients with stage II or above POP was conducted. POP and pelvic floor relaxation were quantitatively assessed using both PCL<sub>jnt</sub> and PCL<sub>cc</sub> as reference lines. Further research, point-to-point correlation analysis was performed between the pelvic organ prolapse quantification (POP-Q) system and MRD to investigate the discrepancies between the two reference lines.</p><p><strong>Results: </strong>There was no significant statistical difference in the degree of cystocele and H line between the PCL<sub>jnt</sub> and PCL<sub>cc</sub> groups (p > 0.05). Nevertheless, significant differences in the degree of uterine prolapse and M-line between the two groups were observed (p = 0.00). Both the PCL<sub>jnt</sub> and PCL<sub>cc</sub> reference lines demonstrated better correlation with POP-Q, and the PCL<sub>cc</sub> exhibited slightly higher correlation coefficients than the PCL<sub>jnt</sub>.</p><p><strong>Conclusions: </strong>The results revealed significant moderate correlations between both reference lines and key POP-Q landmarks. Both PCL<sub>jnt</sub> and PCL<sub>cc</sub> can be utilized for interpreting MRD images and diagnosing POP for anterior wall and uterine prolapse.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessment of Different Pubococcygeal Lines for the Quantitative Diagnosis of Pelvic Organ Prolapse Using Magnetic Resonance Defecography.\",\"authors\":\"Min Li, Sumei Wang, Tongtong Liu, Xiao Liu\",\"doi\":\"10.1007/s00192-024-06021-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction and hypothesis: </strong>The objective was to elucidate the clinical utility of two reference lines, the pubosacrococcygeal joint line (PCL<sub>jnt</sub>) and pubococcygeal joint line (PCL<sub>cc</sub>), in the quantitative diagnosis of pelvic organ prolapse (POP) and pelvic floor laxity.</p><p><strong>Methods: </strong>A retrospective analysis of magnetic resonance defecography (MRD) in patients with stage II or above POP was conducted. POP and pelvic floor relaxation were quantitatively assessed using both PCL<sub>jnt</sub> and PCL<sub>cc</sub> as reference lines. Further research, point-to-point correlation analysis was performed between the pelvic organ prolapse quantification (POP-Q) system and MRD to investigate the discrepancies between the two reference lines.</p><p><strong>Results: </strong>There was no significant statistical difference in the degree of cystocele and H line between the PCL<sub>jnt</sub> and PCL<sub>cc</sub> groups (p > 0.05). Nevertheless, significant differences in the degree of uterine prolapse and M-line between the two groups were observed (p = 0.00). Both the PCL<sub>jnt</sub> and PCL<sub>cc</sub> reference lines demonstrated better correlation with POP-Q, and the PCL<sub>cc</sub> exhibited slightly higher correlation coefficients than the PCL<sub>jnt</sub>.</p><p><strong>Conclusions: </strong>The results revealed significant moderate correlations between both reference lines and key POP-Q landmarks. Both PCL<sub>jnt</sub> and PCL<sub>cc</sub> can be utilized for interpreting MRD images and diagnosing POP for anterior wall and uterine prolapse.</p>\",\"PeriodicalId\":14355,\"journal\":{\"name\":\"International Urogynecology Journal\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-01-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Urogynecology Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00192-024-06021-w\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Urogynecology Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00192-024-06021-w","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Assessment of Different Pubococcygeal Lines for the Quantitative Diagnosis of Pelvic Organ Prolapse Using Magnetic Resonance Defecography.
Introduction and hypothesis: The objective was to elucidate the clinical utility of two reference lines, the pubosacrococcygeal joint line (PCLjnt) and pubococcygeal joint line (PCLcc), in the quantitative diagnosis of pelvic organ prolapse (POP) and pelvic floor laxity.
Methods: A retrospective analysis of magnetic resonance defecography (MRD) in patients with stage II or above POP was conducted. POP and pelvic floor relaxation were quantitatively assessed using both PCLjnt and PCLcc as reference lines. Further research, point-to-point correlation analysis was performed between the pelvic organ prolapse quantification (POP-Q) system and MRD to investigate the discrepancies between the two reference lines.
Results: There was no significant statistical difference in the degree of cystocele and H line between the PCLjnt and PCLcc groups (p > 0.05). Nevertheless, significant differences in the degree of uterine prolapse and M-line between the two groups were observed (p = 0.00). Both the PCLjnt and PCLcc reference lines demonstrated better correlation with POP-Q, and the PCLcc exhibited slightly higher correlation coefficients than the PCLjnt.
Conclusions: The results revealed significant moderate correlations between both reference lines and key POP-Q landmarks. Both PCLjnt and PCLcc can be utilized for interpreting MRD images and diagnosing POP for anterior wall and uterine prolapse.
期刊介绍：
The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion
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