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[盆腔器官脱垂手术后的影像学检查]

[Radiological imaging following pelvic prolapse surgery].

作者信息

Pausch Antonia M, Betschart Cornelia, Hötker Andreas M

机构信息

Institut für Diagnostische und Interventionelle Radiologie, Universitätsspital Zürich, Rämistr. 100, 8091, Zürich, Schweiz.

Klinik für Gynäkologie, Universitätsspital Zürich, Zürich, Schweiz.

出版信息

Radiologie (Heidelb). 2023 Nov;63(11):808-813. doi: 10.1007/s00117-023-01203-x. Epub 2023 Sep 12.

Abstract

CLINICAL/METHODICAL ISSUE: Pelvic organ prolapse is a common condition in women, for which both conservative and surgical interventions are available. Knowledge of the different surgical procedures and the materials used is essential for adequate radiological diagnosis after prolapse surgery in order to differentiate potential complications from normal postoperative changes.

STANDARD RADIOLOGICAL METHODS

In the immediate postoperative period, computed tomography (CT) is often the modality of choice for evaluating acute complications such as bleeding or organ injuries. Magnetic resonance imaging (MRI) provides excellent soft tissue contrast and is therefore generally preferred for assessing subacute and chronic complications.

METHODICAL INNOVATIONS

Innovative techniques such as dynamic MRI protocols can improve the radiological assessment after prolapse surgery by enabling the evaluation of organ mobility.

PERFORMANCE

Radiological standard procedures such as computed tomography (CT) and MRI provide detailed and reliable information about the postoperative site and potential complications following prolapse surgery.

ACHIEVEMENTS

Radiological imaging plays an important role in the evaluation of patients after prolapse surgery, particularly when complications are suspected. Accurate radiological diagnosis can guide further appropriate therapeutic measures.

摘要

临床/方法学问题:盆腔器官脱垂是女性的常见病症,针对该病症有保守和手术两种干预方式。了解不同的手术方法及所用材料对于脱垂手术后进行充分的放射学诊断至关重要,以便区分潜在并发症与正常术后变化。

标准放射学方法

在术后即刻,计算机断层扫描(CT)通常是评估出血或器官损伤等急性并发症的首选检查方式。磁共振成像(MRI)能提供出色的软组织对比度,因此一般更适合评估亚急性和慢性并发症。

方法学创新

动态MRI方案等创新技术能够通过评估器官活动度来改善脱垂手术后的放射学评估。

性能

计算机断层扫描(CT)和MRI等放射学标准程序能提供有关脱垂手术后术区及潜在并发症的详细且可靠信息。

成果

放射学成像在脱垂手术后患者的评估中发挥着重要作用,尤其是在怀疑有并发症时。准确的放射学诊断可指导进一步的恰当治疗措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25d8/10600287/e5431b9c4cb7/117_2023_1203_Fig1_HTML.jpg

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