通过使用 primiparas 的 levator ani 缺陷得分进行三维内阴内超声波评估:一项复制研究
Emilia Rotstein1,2, Vilhelmina Ullemar1,2, Marianne Starck3
1Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Acta obstetricia et gynecologica Scandinavica
|July 21, 2023
概括
升降器缺陷评分系统在评估阴道分娩后妇女的升降器缺陷方面表现出高可靠性. 这种评分系统是可重现的,有助于对盆地功能障碍进行一致的临床评估.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 盆地地板成像技术 盆地地板成像技术
- 肌肉骨超声波 肌肉骨超声波
背景情况:
- 盆地功能障碍需要适当的升降器和评估.
- 升降器缺陷评分系统使用3D内阴超声来评估升降器缺陷.
研究的目的:
- 为了确定升级器和缺陷评分的内部和内部评分器可靠性.
- 为了评估分数系统在阴道分娩后的原生动物中的可重复性.
主要方法:
- 在阴道分娩1年后,通过3D内阴道超声波检查了141名母婴.
- 两个失明的评定者分析了用两个不同的自动探测器获得的超声波体积.
- 肯德尔的tau-b被用来进行内和间的可靠性分析.
主要成果:
- 在评分系统中观察到高的评分内部可靠性 (肯德尔的tau-b≥0.79) 和评分间可靠性 (肯德尔的tau-b>0.78).
- 升降器缺陷水平有所不同:75.9%-80.1%轻度/没有缺陷,6.4%-9.2%中度,4.3%-6.4%严重.
- 评分系统在不同的评分器和探测器中显示出高可重现性.
结论:
- 升降器肌肉缺陷评分系统是评估升降器肌肉缺陷的可行和可重复的方法.
- 该系统的临床使用可以提高医疗保健提供者之间的评估一致性.
- 该系统应该补充临床发现,而不是取代它们,因为它缺乏"没有缺陷"类别.
相关概念视频
Assessment of the Rectum and Anus
279
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
279
Imaging Studies VI: Voiding Cystourethrography and Cystography
33
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
33
Assessment of the Abdomen III: Palpation
791
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
791
Urodynamic Studies: Uroflowmetry
87
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
87
Muscles of the Pelvic Floor and Perineum
1.5K
The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
1.5K
Urologic Endoscopic Procedure: Cystoscopic Examination
63
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
63


