电梯板架构在便失禁的女性中发生了变化
Yael Baumfeld1, Qi Wei2, Jittima Manonai3
1Department of Obstetrics & Gynecology, INOVA Women's Hospital, Falls Church, VA, USA.
概括
便失禁的女性表现出改变的门复合体解剖学,包括异常的升降板结构和较小的外部门 (EAS). 三维内超声波 (EAUS) 有助于评估这些排便障碍.
科学领域:
- 盆地图像成像 盆地图像成像
- 胃肠病学 胃肠病学
- 泌尿和妇科 泌尿和妇科
背景情况:
- 便失禁 (FI) 显著影响生活质量.
- 了解FI的解剖基础对于有效治疗至关重要.
- 三维内超声波 (3D-EAUS) 提供了骨盆地结构的详细可视化.
研究的目的:
- 评估便失禁妇女的升降板和门综合体的结构.
- 通过3D-EAUS.US使用便失禁和没有便失禁的女性之间的这些结构进行比较.
- 为了识别与便失禁相关的超声波标记.
主要方法:
- 对3D-EAUS考试的回顾性队列研究.
- 包括31名便失禁妇女和30名健康对照.
- 详细评估门综合体和升降板,包括测量外部门关节 (EAS) 长度和升降板距离.
主要成果:
- 在两组之间发现门复杂解剖学的显著差异.
- 在便失禁组中,异常升降板解剖的患病率更高 (84%对3%).
- 在有便失禁的女性中,EAS尺寸更小,EAS和升降板之间的距离更短.
结论:
- 便失禁的妇女在门通道和道综合体中表现出明显的解剖变化.
- 异常的升降板解剖学和改变的EAS-升降板距离与便失禁有关.
- 3D-EAUS是评估排便障碍和识别潜在解剖异常的宝贵工具.
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