被3D-TPUS检测到的升降器间歇区域作为直肠脱落严重程度的指标
Danqi Shao1,2,3, Jianping Qiu2,3,4, Junli Yu1,2,3
1Department of Ultrasonography, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
International journal of colorectal disease
|January 9, 2026
概括
动态3D-TPUS可以评估直肠 (RP) 的严重程度. 在3D-TPUS上,部部区域 (LHA) 与RP相关,有助于诊断和管理.
科学领域:
- 盆地图像和诊断 盆地图像和诊断
- 胃肠病学和结直肠外科手术
背景情况:
- 直肠 (RP) 是一种严重的疾病,特别是在老年女性中,阴道分娩是主要的危险因素.
- 目前用于RP的诊断方法在方便方面存在局限性.
- 需要改进,方便的RP评估措施.
研究的目的:
- 开发一个改进和方便的诊断措施,用于直肠 (RP).
- 调查动态3D-TPUS参数与RP严重程度之间的相关性.
主要方法:
- 对181名女性患者的回顾性分析.
- 动态3D-TPUS与放射性缺陷学 (X射线或MRI) 的比较.
- 3D-TPUS参数的量化,包括升起器部区域 (LHA),膀部下降 (BND) 和直肠囊位置 (RAP).
主要成果:
- 严重的RP病例与年龄较大,出生体重较高和较少的nulliparity有关.
- 与轻度病例相比,严重的RP病例的显著差异包括较大的LHA,增加的BND和更深的RAP.
- 在多变量分析中,Valsalva期间的年龄和LHA是严重RP最有影响力的指标. 确定了用于查和手术转诊的LHA值.
结论:
- 动态3D-TPUS测量的LHA与RP严重程度有关.
- 在RP中,LHA可以作为盆地功能障碍的可量化的标志物.
- 3D-TPUS提供了RP严重程度的辅助,方便的指标,改善了患者管理.
相关概念视频
Assessment of the Rectum and Anus
1.1K
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,...
1.1K
Assessment of the Abdomen III: Palpation
3.1K
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...
3.1K
Abdominal Regions and Quadrants
15.9K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
15.9K
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
364
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
364
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
548
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
548
Imaging Studies VI: Voiding Cystourethrography and Cystography
1.2K
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...
1.2K


