盆腔器官脱垂定量：直立MRI在POP研究中的应用。

IF 1.8 3区医学 Q3 OBSTETRICS & GYNECOLOGY

International Urogynecology Journal Pub Date : 2025-06-04 DOI:10.1007/s00192-025-06182-2

Annemarie van der Steen, Frank F J Simonis, Anique T M Grob

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引用次数: 0

摘要

摘要：当盆腔器官脱垂（POP）患者的治疗方法由必需改为手术治疗时，通常需要新的POP量化方法。然而，子宫摘除后最大POP复发的时间尚不清楚。这篇视频文章说明了子宫托切除后POP程度随时间的变化。方法：对12例POP患者进行直立MRI扫描，测量子宫托原位、即刻、4和8小时后膀胱和宫颈最低点到骨盆倾斜矫正系统（PICS）线的距离。确定时间点之间的统计差异。结果：膀胱摘除后，膀胱从PICS线上方中位0.1 cm下降至下方1.8 cm。58%的患者膀胱保持稳定；33%的患者在4 - 8小时后膀胱进一步下降至5.4厘米。子宫托切除后，子宫颈从PICS线上方3.1 - 1.9厘米的中位位置立即下降。17%的患者在4-8小时后出现宫颈晚期下降。结论：POP定量应延迟至取托后至少8 h，以防止对POP程度的低估。

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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Pelvic Organ Prolapse Quantification After Pessary Removal: The Use of Upright MRI in POP Research.

Introduction: When pelvic organ prolapse (POP) patients change from pessary to surgical treatment, new POP quantification is often necessary. However, the time to maximal POP recurrence after pessary removal is unclear. This video-article illustrates the variation over time of POP extent after pessary removal.

Methods: Upright MRI scans of 12 POP patients were used to measure the distances from the lowest points of bladder and cervix to the Pelvic Inclination Correction System (PICS)) line, with the pessary in situ, immediately, 4 and 8 h after pessary removal. Statistical differences between time points were determined.

Results: The bladder descended immediately after pessary removal from a median of 0.1 cm above to 1.8 cm below the PICS line. In 58% of patients, the bladder then remained stable; in 33%, the bladder further descended up to 5.4 cm after 4 to 8 h. The cervix descended immediately after pessary removal from a median of 3.1 cm to 1.9 cm above the PICS line. In 17% of patients, a late cervix descent after 4-8 h was seen.

Conclusion: POP quantification should be delayed at least 8 h after pessary removal to prevent underestimation of POP extent.

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来源期刊

International Urogynecology Journal 医学-妇产科学

CiteScore

3.80

自引率

22.20%

发文量

406

审稿时长

3-6 weeks

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