在阴道分娩后立即对关的三维跨膜超声波评估:一项探索性研究
Laura Cattani1,2, Bram Packet1,2, Adela Samešova1,3
1Department of Development and Regeneration, Cluster Urogenital Surgery, Biomedical Sciences, KU Leuven, Leuven, Belgium.
概括
在阴道分娩后立即进行关节超声波 (TPUS),为可重复测量提供足够的图像质量. 虽然AS缺陷的存在是商定的,但它们的范围很难复制.
科学领域:
- 产科和妇科 产科和妇科
- 医疗成像医学成像
- 手术解剖学手术解剖学
背景情况:
- 阴道分娩可能导致关节 (AS) 损伤.
- 早期发现AS缺陷对于及时干预至关重要.
- 跨膜超声波 (TPUS) 是评估AS的潜在成像方式.
研究的目的:
- 评估获得足够的TPUS数量的AS产后立即产生的可行性.
- 用TPUS评估AS测量的可重现性.
- 为了确定TPUS在检测AS缺陷方面的有效性.
主要方法:
- 在阴道分娩后立即获得的AS的TPUS体积的二次分析.
- 图像质量由两位独立专家通过 Point-of-Care 超声波图像质量尺度进行评估.
- 对足够/理想质量的图像进行了AS长度和体积的测量,并使用断层超声波成像 (TUI) 选AS缺陷.
主要成果:
- 88.5%的TPUS卷被认为是充足的或理想的质量.
- 对于2D和3DAS测量,在体内和体间的可靠性是很好的.
- 对于AS缺陷测量的内部和间的可靠性是很好的到中等的,尽管只有8.3%的患者有缺陷,并且它们的程度难以重现.
结论:
- 在阴道分娩后立即进行AS的TPUS是可行的,并产生足够的图像质量.
- TPUS允许对AS进行可重复的测量.
- 虽然可以识别AS缺陷的存在,但评估它们的程度显示出其复制性较差.
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