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经直肠前列腺切除术前、后超声：技术方法与描述。

Transperineal Ultrasound Before and After Prostatectomy: Technical Approach and Description.

机构信息

Unit of Radiology, IRCCS Policlinico San Donato, Milan, Italy.

Department of Radiology, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK.

出版信息

J Ultrasound Med. 2022 Dec;41(12):3125-3135. doi: 10.1002/jum.16064. Epub 2022 Jul 21.

DOI:10.1002/jum.16064
PMID:35866181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9796877/
Abstract

This study assessed the feasibility of dynamic transperineal ultrasound (TPUS) pre/post-radical prostatectomy (RP). Ninety-eight patients were scanned pre-operatively and at four time-points post-operatively. TPUS was performed in 98 patients using an abdominal transducer at rest, during pelvic floor contraction (PFC) and Valsalva (VS) maneuver in supine and standing positions. Urodynamic evaluations included bladder neck angle at rest/PFC/VS, and degree of bladder neck movement. Pre-operative and post-operative measurements were technically feasible in >85% (supine) and >90% (standing) of patients. TPUS offers a reliable non-invasive dynamic assessment of the pelvic floor post-prostatectomy and may prove a useful adjunct for guiding exercises to preserve continence.

摘要

本研究评估了经会阴超声（TPUS）在根治性前列腺切除术（RP）前后的可行性。98 例患者在术前和术后四个时间点进行了扫描。98 例患者使用腹部探头在仰卧位和站立位时的静息、骨盆底收缩（PFC）和valsalva （VS）动作时进行了 TPUS。尿动力学评估包括静息/PFC/VS 时的膀胱颈角度和膀胱颈运动程度。>85%（仰卧位）和>90%（站立位）的患者能够进行术前和术后的测量。TPUS 可提供可靠的、非侵入性的术后盆腔底部动态评估，可能有助于指导锻炼以保持尿控。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598a/9796877/ea5dd3059a22/JUM-41-3125-g007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598a/9796877/d987ae60689b/JUM-41-3125-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598a/9796877/ea5dd3059a22/JUM-41-3125-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598a/9796877/8b6412b2736e/JUM-41-3125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598a/9796877/796452a554ac/JUM-41-3125-g006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598a/9796877/c3a01e637faa/JUM-41-3125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598a/9796877/87c4b401f617/JUM-41-3125-g005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598a/9796877/ea5dd3059a22/JUM-41-3125-g007.jpg

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本文引用的文献

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Integration of Prostate Biopsy Results with Pre-Biopsy Multiparametric Magnetic Resonance Imaging Findings Improves Local Staging of Prostate Cancer.将前列腺活检结果与活检前多参数磁共振成像结果相结合可提高前列腺癌的局部分期。
Can Assoc Radiol J. 2022 Aug;73(3):515-523. doi: 10.1177/08465371211073158. Epub 2022 Feb 24.
2
Evaluation of image-based prognostic parameters of post-prostatectomy urinary incontinence: A literature review.基于影像的前列腺癌根治术后尿失禁预后参数评估：文献回顾。
Int J Urol. 2021 Sep;28(9):890-897. doi: 10.1111/iju.14609. Epub 2021 Jun 8.
3
Comparison of biparametric versus multiparametric prostate MRI for the detection of extracapsular extension and seminal vesicle invasion in biopsy naïve patients.
双参数与多参数前列腺MRI在初诊活检患者中检测包膜外侵犯和精囊侵犯的比较
Eur J Radiol. 2021 Aug;141:109804. doi: 10.1016/j.ejrad.2021.109804. Epub 2021 May 27.
4
Transperineal ultrasound as a reliable tool in the assessment of membranous urethra length in radical prostatectomy patients.经会阴超声在评估根治性前列腺切除术患者膜部尿道长度中的可靠性。
Sci Rep. 2021 Jan 19;11(1):1759. doi: 10.1038/s41598-021-81397-z.
5
Intravesical prostatic protrusion may affect early postoperative continence undergoing robot-assisted radical prostatectomy.膀胱内前列腺突出可能会影响机器人辅助根治性前列腺切除术后早期的控尿功能。
BMC Urol. 2020 Oct 21;20(1):164. doi: 10.1186/s12894-020-00740-0.
6
Extraprostatic Tumor Extension: Comparison of Preoperative Multiparametric MRI Criteria and Histopathologic Correlation after Radical Prostatectomy.前列腺外肿瘤侵犯：根治性前列腺切除术前多参数 MRI 标准与术后组织病理学相关性比较。
Radiology. 2020 Jul;296(1):87-95. doi: 10.1148/radiol.2020192133. Epub 2020 May 5.
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Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound.使用经会阴超声对仰卧位和站立位咳嗽应力试验（CST）中尿液渗漏时膀胱颈和近端尿道的行为进行实时评估。
Int Urogynecol J. 2020 Dec;31(12):2515-2519. doi: 10.1007/s00192-020-04273-w. Epub 2020 Apr 14.
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[Impact of the degrees of intravesical prostatic protrusion on the recovery of urinary continence after radical prostatectomy].[膀胱内前列腺突出程度对前列腺癌根治术后尿失禁恢复的影响]
Zhonghua Nan Ke Xue. 2019 Feb;25(2):110-117.
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Update of the Standard Operating Procedure on the Use of Multiparametric Magnetic Resonance Imaging for the Diagnosis, Staging and Management of Prostate Cancer.前列腺癌诊断、分期和管理中使用多参数磁共振成像的标准操作程序更新。
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