de Jesus Lisieux Eyer, Fazecas Tatiana, Ribeiro Bianca G, Dekermacher Samuel
Pediatric Surgery and Urology Department, Antonio Pedro University Hospital, Federal Fluminense University, Rio de Janeiro, Brazil; Pediatric Surgery and Urology Department, Servidores do Estado Federal Hospital, Ministry of Health, Rio de Janeiro, Brazil.
CDPI Criança, Rio de Janeiro, Brazil; Radiology Department, Jesus Municipal Hospital, Rio de Janeiro, Brazil.
Urology. 2017 Jun;104:175-178. doi: 10.1016/j.urology.2017.02.030. Epub 2017 Feb 28.
To demonstrate the usefulness and advantages of transperineal ultrasound (TPUS) on planning the surgical tactics to treat childhood pelviperineal disease (CPPD).
A cohort of CPPD is reviewed to provide a pictorial review of TPUS as imaging method variety of CPPD. Other imaging methods are compared with TPUS.
TPUS studies of patients showing different conditions on the spectrum of pelviperineal malformation are shown in detail (pictorial review, graphically shown-see figures in the article and as supplementary material), highlighting the advantages of the method and comparing TPUS findings with other imaging techniques.
Magnetic resonance imaging, contrast genitograms, voiding cystourethrography, and genital or urologic endoscopy have some important disadvantages, especially radiation exposure, high cost, not easily available equipment, and the need of general anesthesia or deep sedation in children. TPUS is easily available, including in impoverished environments, portable, painless, reproducible, inexpensive, and capable of providing detailed and specific information about pelviperineal malformation with accuracy. Data provided by TPUS are comparable with other imaging techniques (Table 1). Its main disadvantage is the dependency on the expertise of the operator to obtain high-quality, well-interpreted images.
证明经会阴超声（TPUS）在规划治疗儿童盆腔会阴部疾病（CPPD）的手术策略方面的实用性和优势。
回顾一组CPPD病例，以对TPUS作为多种CPPD成像方法进行图像回顾。将其他成像方法与TPUS进行比较。
详细展示了对盆腔会阴部畸形谱系中不同病情患者的TPUS研究（图像回顾，以图形显示——见文章中的图及补充材料），突出了该方法的优势，并将TPUS结果与其他成像技术进行比较。
磁共振成像、造影性生殖泌尿造影、排尿性膀胱尿道造影以及生殖或泌尿外科内镜检查存在一些重要缺点，尤其是辐射暴露、成本高、设备不易获取，以及儿童需要全身麻醉或深度镇静。TPUS易于获得，包括在贫困环境中，具有便携、无痛、可重复、成本低的特点，并且能够准确提供有关盆腔会阴部畸形的详细和具体信息。TPUS提供的数据与其他成像技术相当（表1）。其主要缺点是依赖操作人员的专业知识来获取高质量、解读良好的图像。
