跨膜超声波与数字触摸:确定用于客观评估盆底肌肉收缩的关键参数
Yun Lin1, Honghong Pan2, Yupeng Chen2
1Department of Ultrasound, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Acta obstetricia et gynecologica Scandinavica
|October 2, 2025
概括
跨膜超声波提供了一种可靠和客观的方法来评估盆底肌肉功能,与数字触摸有很好的相关性. 这种非侵入性技术增强了对盆底疾病的临床评估.
科学领域:
- 盆地功能障碍评估评估 盆地功能障碍评估
- 医学成像医学成像
- 肌肉骨生物力学 肌肉骨生物力学
背景情况:
- 盆地肌肉功能评估对于管理盆地疾病至关重要.
- 数字触摸是主观的,缺乏可复制性.
- 需要客观可靠的评估方法.
研究的目的:
- 关联数字触摸 (修改的牛津尺度) 与跨膜超声波测量.
- 评估修改的牛津尺度和超声波参数的可靠性.
- 建立跨膜超声波作为可靠的,客观的,非侵入性评估工具.
主要方法:
- 对442名女性进行横截面研究.
- 独立的数字触摸和跨膜超声波评估.
- 超声波量化了近端尿道轴的角度变化和升降器间隙区域.
- 使用ICC和科恩的卡帕评估的评价者之间的可靠性.
- 使用了斯皮尔曼等级相关性和ROC曲线分析.
主要成果:
- 在超声波参数和修改牛津尺度得分之间发现了显著的相关性 (p < 0.001).
- 最强的相关性是靠近尿道轴的角度变化 (rs = 0.727) 和升降器间隙面积变化 (rs = 0.717).
- 超声波的高间评分可靠性 (ICC = 0.92);对触摸的中等协议 (kappa = 0.55).
- 导出了超声波参数的截止值,表示收缩强度.
结论:
- 跨膜超声波是一种高度可靠,客观和非侵入性的方法,用于评估盆底肌肉收缩性.
- 超声波可视化结构位移,补充了触摸对功能强度的评估.
- 触摸和超声波的联合使用增强了骨盆地功能临床评估.
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