The Value of Transperineal Three-dimensional Ultrasound Imaging in the Diagnosis of Pelvic Organ Prolapse_West China Medical Journal

Authors：

 NONGMei-fen , LINGBing , WANGXiao-yan , LIAOMing-zhu , CHENHai-ning.

Department of Ultrasonography, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi 530021, P. R. China;

Corresponding author：

Keywords：

Three-dimensional ultrasound; Levator ani muscle; Pelvic organ prolapse

DOI：

10.7507/1002-0179.20140332

Video：

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Objective To study the value of transperineal three-dimensional ultrasound imaging in the diagnosis of pelvic organ prolapse (POP). Methods Fifty-two female patients undergoing transperineal three-dimensional ultrasound imaging between December 2011 and May 2013 were chosen for our study. Thirty-two of them with POP were designated into the observation group, and the other 20 patients with common gynecological diseases were regarded as the control group. Both the two groups of patients underwent transperineal three-dimensional ultrasound imaging in their resting state, action state (Valsalva deep inspiration followed by breath holding), and under levator ani muscle shrinking condition. These three kinds of state images clearly showed pelvic floor levator hiatus area and sagittal levator hiatus lengths change in the patients. Results Pelvic floor was more relaxed in the observation group than that in the control group. The levator hiatus area and sagittal levator hiatus lengths were larger in the observation group than those in the control group, and the differences were significant (P<0.05). Conclusion Transperineal three-dimensional ultrasound imaging can better display pelvic anatomic structure, improve the effectiveness and accuracy of the diagnosis of pelvic organ prolapse, which is worthy of clinical application.

Citation： NONGMei-fen, LINGBing, WANGXiao-yan, LIAOMing-zhu, CHENHai-ning.. The Value of Transperineal Three-dimensional Ultrasound Imaging in the Diagnosis of Pelvic Organ Prolapse. West China Medical Journal, 2014, 29(6): 1089-1091. doi: 10.7507/1002-0179.20140332 Copy

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1. 杨欣, 王建六. 美国妇产科学院盆腔器官脱垂临床实践指南(2009年)解读[J]. 中国妇产科临床杂志, 2011,12(2): 157-160.
2. 柯桂珠, 宋岩峰. 盆底器官脱垂患者肛提肌的动态MRI研究[J]. 现代妇产科进展, 2008, 17(7): 525-529.
3. Kew J, Rees GL, Close D. Multiplanar reconstructed computed tomography images improves depiction and understanding of the anatomy of the frontal sinus and recess[J] Am J Rhinol, 2002, 16(2): 119-123.
4. Delancey JO. Anatomic aspects of vaginal eversion after hysterectomy[J]. Am J Obstet Gynecol, 1992,166(6 Pt 1): 1717-1724.
5. Stammberger HR, Kenney DW. Paranasal sinuses: anatomic terminology and nomenclature[J]. Ann Oto Rhinol Laryngol, 1995, 167(Suppl): 7-16.
6. Wormald PJ. The agger nasi cell: the key to understanding the anatomy of the frontal recess[J]. Otolaryngol Head Neck Surg. 2003, 129(5): 497-507.
7. Choi BI, Lee HJ, Han JK, et al. Detection of hypervascular nodular hepatocellular carcinomas: value of triphasic helical CT compared with iodized-oil CT[J]. AJR Am J Roentgenol, 2008, 157(2): 219-224.
8. Khan MA, Combs CS, Brunt EM, et al. Positron emission tomography scanning in the evaluation of hepatocellular carcinoma[J]. J Hepatol, 2000, 32(5): 792-797.

West China Medical Journal

The Value of Transperineal Three-dimensional Ultrasound Imaging in the Diagnosis of Pelvic Organ Prolapse

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