经会阴超声检测盆腔器官脱垂和压力性尿失禁术后并发症。

IF 1.2 4区 医学 Q3 ACOUSTICS
Lan Bu, Xiaoyu Yang, Ailing Xu, Fang Nie
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引用次数: 0

摘要

目的:评估二维(2D)和三维(3D)经会阴超声(TPUS)在怀疑盆腔器官脱垂(POP)和压力性尿失禁(SUI)手术植入相关并发症的女性中的作用。方法:采用回顾性单中心队列研究,纳入2017年1月至2024年12月期间接受阴道或腹部网状物植入治疗盆腔器官脱垂(POP)或应激性尿失禁(SUI)的130名女性。在静止状态和Valsalva演习期间,使用2D和3D tpu动态评估吊索的位置和可移动性。结果:130例患者中,有症状者24例,无症状者106例。89.2%(116/130)患者有一颗种植体,其余患者有两颗或更多种植体。尿道中吊带(MUS)是最常见的植入物[63.8%(83/130)]。慢性盆腔或腹部疼痛是最常见的临床症状[16.9%(22/130)]。有症状组植入补片数量[45.8%(11/24)]高于无症状组[3.8%(4/106)]。经会阴超声检测盆底吊带术后并发症的敏感性和特异性分别约为89%和92%。结论:经会阴二维和三维超声可有效评估盆腔网状植入物的位置和可动性,对发现术后并发症具有较高的敏感性和特异性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transperineal Ultrasound for Detecting Complications After Pelvic Organ Prolapse and Stress Urinary Incontinence Surgery.

Purpose: Assess the roles of two-dimensional (2D) and three-dimensional (3D) transperineal ultrasound (TPUS) among women suspected of having complications associated with surgical implantation for pelvic organ prolapse (POP) and stress urinary incontinence (SUI).

Methods: A retrospective single-center cohort study was conducted, involving 130 women who underwent either vaginal or abdominal mesh implant placement for the treatment of pelvic organ prolapse (POP) or stress urinary incontinence (SUI) between January 2017 and December 2024. The position and mobility of the slings were dynamically assessed using 2D and 3D TPUS at rest and during the Valsalva maneuver.

Results: Among 130 patients, 24 were categorized as symptomatic and 106 as asymptomatic. 89.2% (116/130) had one implant, while the remaining patients had two or more implants. Mid-urethral slings (MUS) were the most prevalent implants [63.8% (83/130)]. Chronic pelvic or abdominal pain was the most frequent clinical symptom [16.9% (22/130)]. There were more mesh implants in the symptomatic group [45.8% (11/24)] than in the asymptomatic group [3.8% (4/106)]. The sensitivity and specificity of transperineal ultrasound in detecting complications after pelvic floor sling surgery are approximately 89% and 92%, respectively.

Conclusion: Transperineal 2D and 3D ultrasound effectively evaluates the position and mobility of pelvic mesh implants, demonstrating high sensitivity and specificity in detecting postoperative complications.

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来源期刊
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.
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