| 史庆玲,文烈明,卿真真,赵白桦,刘秀梅.经会阴盆底超声与盆腔器官脱垂定量检查(POP-Q)评估女性盆腔器官脱垂的一致性[J].中国医学影像技术,2021,37(3):422~425 |
| 经会阴盆底超声与盆腔器官脱垂定量检查(POP-Q)评估女性盆腔器官脱垂的一致性 |
| Concordance of transperineal pelvic floor ultrasound imaging and pelvic organ prolapse quantitive examination (POP-Q) in assessment of female pelvic organ prolapse |
| 投稿时间：2019-08-06 修订日期：2021-01-08 |
| DOI：10.13929/j.issn.1003-3289.2021.03.025 |
| 中文关键词: 超声检查 盆腔器官脱垂 盆腔器官脱垂定量检查 |
| 英文关键词:ultrasonography pelvic organ prolapse pelvic organ prolapse quantitive examination |
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| 中文摘要: |
| 目的 观察经会阴盆底超声（TPFUS）与盆腔器官脱垂定量检查（POP-Q）评估盆腔器官脱垂（POP）的一致性。方法 回顾性分析262例接受TPFUS和POP-Q评估的POP患者，观察TPFUS前盆腔测值U、中盆腔测值Cx和后盆腔测值R与POP-Q的Ba、C和Bp测值的相关性，以Kappa值评估2种方法诊断结果的一致性。结果 POP-Q诊断0度POP 51例（19.47%），Ⅰ度60例（22.90%）、Ⅱ度60例（22.90%）、Ⅲ度47例（17.94%）、Ⅳ度44例（16.79%）；其中129例（49.24%）存在Ⅱ~Ⅳ度阴道前壁膨出，103例（39.31%）Ⅱ~Ⅳ度子宫脱垂，68例（25.95%）Ⅱ~Ⅳ度阴道后壁膨出。Ⅱ~Ⅳ度POP患者中，U与Ba、Cx与C均呈高度相关（r=0.88、0.89，P均<0.001），R与Bp低度相关（r=0.46，P<0.001）。TPFUS与POP-Q诊断前盆腔器官膨出和子宫脱垂的一致性良好（Kappa=0.89、0.78，P均<0.001）。结论 TPFUS与POP-Q评估POP的一致性良好。 |
| 英文摘要: |
| Objective To observe the concordance of transperineal pelvic floor ultrasound (TPFUS) and pelvic organ prolapse quantitive examination (POP-Q) in assessment of female pelvic organ prolapse (POP). Methods Data of 262 POP patients underwent TPFUS and POP-Q evaluation were retrospectively analyzed. The correlations of TPFUS measured values of U, Cx and R and POP-Q measured values of Ba, C and Bp of POP were analyzed. Kappa value was used to evaluate the consistency of these two methods. Results Among 262 patients, 51 (19.47%) were diagnosed as stage 0, 60(22.90%) stage Ⅰ, 60(22.90%) stage Ⅱ, 47(17.94%) stage Ⅲ and 44(16.79%) stage Ⅳ POP with POP-Q, while 129 cases (49.24%) were found with stage Ⅱ-Ⅳ cystoceles, 103 (39.31%) with stage Ⅱ-Ⅳ uterus prolapse and 68 (25.95%) with Ⅱ-Ⅳstage rectocele. For stage Ⅱ-Ⅳ POP, high correlations were found between the measurement values of U and Ba (r=0.88, P<0.001) as well as Cx and C (r=0.89, P<0.001), while low correlation was found between the measurement values of R and Bp (r=0.46, P<0.001). There was good coincident between TPFUS and POP-Q for detection of cystocele and uterus prolapse (Kappa=0.89, 0.78, both P<0.001). Conclusion TPFUS and POP-Q were coincident in evaluation on cystocele and uterus prolapse. |
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