Capmas P, Letendre I, Levaillant J-M, Fuchs F, Panel P, Chambon G, Villefranque V, Levy-Zauberman Y, Fernandez H
Service de gynécologie obstétrique, hôpital Bicêtre, 78, avenue du Général-Leclerc, 94276 Le Kremlin-Bicêtre, France; Inserm, CESP Centre for Research in Epidemiology and Population Health, U1018, Epidemiology of Reproduction and Child Development Team, 94276 Le Kremlin-Bicêtre, France; Université Paris-Sud, UMRS 1018, 94276 Le Kremlin-Bicêtre, France.
Service de gynécologie obstétrique, hôpital Bicêtre, 78, avenue du Général-Leclerc, 94276 Le Kremlin-Bicêtre, France.
J Gynecol Obstet Hum Reprod. 2017 Sep;46(7):571-573. doi: 10.1016/j.jogoh.2017.06.004. Epub 2017 Jul 1.
Three-dimensional sonography is a good alternative method to assess the position of microinserts. Adequate position after three months allows for the interruption of other contraception. Objective is to evaluate inter-observer reproducibility of the interpretation of coronal transvaginal 3D ultrasound view of the uterus to evaluate the position of Essure.
Inter-observer reproducibility study. Fifty women underwent successful bilateral placement of microinserts (Essure) by hysteroscopy in the Department of Gynaecology of a teaching hospital and were included in the study. At three month, 3D ultrasound coronal views of the fifty uterus (accounting for one hundred microinserts) were assessed by five different observers and microinsert position was classified according to the classification described by Legendre et al. Inter-observer reproducibility in reading the 3D coronal view of the uterus was evaluated.
The k-value was disparate, from 0.26 to 0.82. Inter-observer reproducibility then ranged from fair to almost perfect, depending on a prior knowledge of the position classification.
Transvaginal 3D coronal view of the uterus is sufficient to assess the positioning of the microinserts when the practionner or the surgeon is familiar with the classification method.
三维超声是评估微型植入物位置的一种良好替代方法。三个月后位置合适则可停止使用其他避孕方法。目的是评估经阴道子宫冠状面三维超声图像解读的观察者间再现性，以评估埃苏尔（Essure）的位置。
观察者间再现性研究。五十名女性在一家教学医院的妇科通过宫腔镜成功进行了双侧微型植入物（埃苏尔）放置，并纳入研究。三个月时，由五名不同观察者评估五十个子宫的三维超声冠状面图像（共一百个微型植入物），并根据勒让德等人描述的分类方法对微型植入物位置进行分类。评估了观察者间对子宫三维冠状面图像解读的再现性。
k值差异较大，从0.26到0.82。观察者间再现性根据对位置分类的先验知识，从一般到几乎完美不等。
当从业者或外科医生熟悉分类方法时，经阴道子宫冠状面三维超声足以评估微型植入物的位置。
