在跨膜超声波上区分I型和II型流血是否有用?
Ka Lai Shek1, Hans Peter Dietz2, Joseph Descallar3
1Liverpool Clinical School, Western Sydney University, Sydney, Australia.
概括
悬臂突起,是骨盆器官脱落 (POP) 的危险因素,有两种类型. 与I型流血相比,II型流血并没有显示出更大的POP症状风险.
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
- 女性的盆腔医学
背景情况:
- 升降器突破是骨盆器官脱落 (POP) 和治疗失败的重要危险因素.
- 目前的诊断依赖于断层扫描横超声波 (TLUS),将脱落分为完全/部分或单边/双边.
- 拟议的分类包括I型 (与侧墙的超声波连接) 和II型 (没有连接).
研究的目的:
- 为了比较升降器排泄类型 (I型与I型) 之间的关联. 类型II),以及骨盆器官脱落 (POP) 的症状和迹象.
主要方法:
- 对931名接受了标准化泌尿病学评估的妇女进行了回顾性分析,包括POPQ和4D TLUS.
- 对存档的超声波数据进行后处理,以评估突破类型.
- 统计测试以确定突破类型和POP指标之间的关联.
主要成果:
- 在188名女性中,有136名 (15%) 患有I型,52名 (6%) 患有II型.
- 与I型流血相比,II型流血没有被发现更能预测POP症状或迹象 (p > .017对比p < .001).
结论:
- 该研究表明,与I型相比,II型升降器流血,据认为更严重,不会增加POP症状或症状的额外风险.
- 在跨膜超声波上区分I型和II型升降器突发症可能在临床上不必要,以评估POP风险.
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