[膀胱膨出与会阴超声：可靠性与患者满意度比较]
[Cystocele and perineal ultrasound : Comparison of reliability and patient satisfaction].
作者信息
Blum R, Blum G, Link G, Meinhold-Heerlein I, Najjari L
机构信息
Klinik für Gynäkologie und Geburtsmedizin, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.
出版信息
Urologe A. 2016 Dec;55(12):1595-1600. doi: 10.1007/s00120-016-0101-x.
BACKGROUND
Pelvic organ prolapse is a common medical finding. The use of perineal ultrasound for diagnosis of cystoceles is gaining in importance.
OBJECTIVES
The purpose of this work was to test whether perineal ultrasound can be used to diagnose a cystocele before surgery and for follow-up examination. Furthermore, patient satisfaction during speculum examination and perineal ultrasound was compared.
MATERIALS AND METHODS
33 women with cystocele were examined before and after anterior colporrhaphy. Symptoms and satisfaction were documented with questionnaires.
RESULTS
Ultrasound measurements of both examiners were correlated before and after colporrhaphy. Also, the degree of cystocele and ultrasound were correlated during Valsalva after surgery. There was no clear relation between typical symptoms of the cystocele and ultrasound measurements. The patient's comfort is higher during ultrasound than during speculum examination (r = 0.45; p = 0.04. t = 4,418; p < 0.01).
CONCLUSION
The results of the perineal ultrasound are reproducible before and after colporrhaphy. Patients prefer ultrasound to the speculum examination. A sonographic scale of the cystocele would extend the use of perineal ultrasound.
背景
盆腔器官脱垂是一种常见的医学发现。会阴超声在膀胱膨出诊断中的应用越来越重要。
目的
本研究旨在测试会阴超声是否可用于手术前膀胱膨出的诊断及随访检查。此外，还比较了患者在阴道窥器检查和会阴超声检查过程中的满意度。
材料与方法
对33例膀胱膨出患者在阴道前壁修补术前及术后进行检查。通过问卷记录症状和满意度。
结果
阴道前壁修补术前及术后，两位检查者的超声测量结果具有相关性。术后屏气时，膀胱膨出程度与超声检查结果也具有相关性。膀胱膨出的典型症状与超声测量结果之间无明显关联。患者在超声检查时的舒适度高于阴道窥器检查（r = 0.45；p = 0.04，t = 4.418；p < 0.01）。
结论
阴道前壁修补术前及术后，会阴超声检查结果具有可重复性。患者更喜欢超声检查而非阴道窥器检查。膀胱膨出的超声分级将扩大会阴超声的应用范围。
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