지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 355 - 364 (10page)
이용수
초록· 키워드
오류제보하기
Purpose: The purpose of this study was to investigate magnetic resonance imaging (MRI) and 3-dimensional transperineal ultrasound (3D-TPUS) features of pelvic floor dysfunction (PFD) in symptomatic women in correlation with digital palpation and to define cut-offs for hiatal dimensions predictive of muscle dysfunction. Methods: This prospective study included 73 women with symptoms suggesting PFD. 3D-TPUS, MRI, and digital palpation of the levator ani muscle were performed in all patients. Levator hiatal antero-posterior (LHap) diameter and area (LH area) were measured at rest and at maximum muscle contraction. Results: The reduction in LHap diameter and LH area during contraction was significantly less in women with underactive pelvic floor muscle contraction (UpfmC) than in those who had normal pelvic floor muscle contraction by digital palpation (P<0.001). Statistically significant positive correlations (P<0.001) were found between the Modified Oxford Score and 3D-TPUS and MRI regarding the reduction in the LHap diameter (r=0.80 and r=0.82, respectively) and LH area (r=0.60 and r=0.70, respectively). A reduction in LHap of <6.5% on 3D-TPUS and <7.6% on MRI predicted UpfmC with sensitivities of 46.2% and 82.7%, respectively. A reduction in LH area of <3.4% on 3D-TPUS and <3.8% on MRI predicted UpfmC with sensitivities of 75.0% and 88.5%, respectively. MRI was more sensitive in detecting levator avulsion (63.4%) than 3D-TPUS (27.1%). Conclusion: MRI and 3D-TPUS had strong positive correlations with findings on palpation, and at certain cut-offs for hiatal dimensions, they can be used as complementary and objective tools to improve the accuracy of diagnosis and management planning of PFD.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Voorham-van der Zalm PJ / 2008 / "Diagnostic investigation of the pelvic floor": a helpful tool in the approach in patients with complaints of micturition, defecation, and/or sexual dysfunction / J Sex Med 5:864~871
Santoro GA / 2011 / State of the art: an integrated approach to pelvic floor ultrasonography / Ultrasound Obstet Gynecol 37:381~396
Reisenauer C / 2013 / Interdisciplinary S2e guideline for the diagnosis and treatment of stress urinary incontinence in women: short version -AWMF Registry No. 015-005, July 2013 / Geburtshilfe Frauenheilkd 73:899~903
Dietz HP / 2008 / Levator avulsion and grading of pelvic floor muscle strength / Int Urogynecol J Pelvic Floor Dysfunct 19:633~636
Dietz HP / 2001 / The use of perineal ultrasound to quantify levator activity and teach pelvic floor muscle exercises / Int Urogynecol J Pelvic Floor Dysfunct 12:166~168
Santoro GA / 2011 / State of the art: an integrated approach to pelvic floor ultrasonography / Ultrasound Obstet Gynecol 37:381~396
Reisenauer C / 2013 / Interdisciplinary S2e guideline for the diagnosis and treatment of stress urinary incontinence in women: short version -AWMF Registry No. 015-005, July 2013 / Geburtshilfe Frauenheilkd 73:899~903
Dietz HP / 2008 / Levator avulsion and grading of pelvic floor muscle strength / Int Urogynecol J Pelvic Floor Dysfunct 19:633~636
Dietz HP / 2001 / The use of perineal ultrasound to quantify levator activity and teach pelvic floor muscle exercises / Int Urogynecol J Pelvic Floor Dysfunct 12:166~168
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