マルチコンパートメンタルプロラップス:臨床検査と超音波との比較研究
José Antonio García-Mejido1,2, Olaya Salas-Alvarez1, Fernando Bugatto-Gonzalez3,4,5
1Department of Surgery, Faculty of Medicine, University of Seville, Seville, Spain.
まとめ
トランスペリネアル超音波と臨床検査 (骨盤臓器の転倒の定量化,POP-Q) は,多部位骨盤臓器の転倒 (POP) の補完的な診断価値を提供します. 両方の方法を組み合わせることは,POP患者の正確な外科計画に不可欠です.
科学分野:
- 泌尿器内科医は,泌尿器内科医である.
- 診断用イメージング
- 外科計画術の計画
背景:
- 多部骨盤器官転倒 (POP) の正確な診断は,手術の成功のために不可欠です.
- POPの診断方法を比較することは,患者のケアを最適化するために非常に重要です.
研究 の 目的:
- トランスペリネアル超音波の診断性能と,多コンパートメントのPOPの臨床検査 (骨盤器官転倒の定量化,POP-Q) の診断性能を比較する.
- 脊髄麻酔下での手術内評価を基準基準として用いて診断の正確性を評価する.
主な方法:
- 予期的なランダム化診断精度試験は,多部位POP手術を受けた129人の患者を対象に実施されました.
- 術前POP-Qまたは2Dトランスペリネアル超音波にランダムに割り当てます.
- 脊髄麻酔下での手術中のPOP-Q評価は,基準基準として使用されました.
主要な成果:
- 両方の方法は,シストコレの診断に対する高い感度を示した.
- トランスペリネアル超音波は,子宮の転落と直腸骨髄に優越した特異性を示しました.
- 超音波は腸内小胞の検出に強固であった (LR+10.5),臨床試験は直腸内小胞の感受性 (61.5%) に優れ,シストセル/子宮内転落 (LR-0) を排除した.
結論:
- 臨床検査とトランスペリネアル超音波は,骨盤臓器の転倒の診断のための補完的な診断ツールです.
- 両方のモダリティの統合使用は,多コンパートメントのPOPにおける外科計画における診断の精度を高めます.
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