| 蔡巧云,沈迎丽,曾飞雁,等.基于磁共振成像的阴道轴向评估女性盆腔器官脱垂手术效果[J].中国临床保健杂志,2025,28(3):381-385. |
| 基于磁共振成像的阴道轴向评估女性盆腔器官脱垂手术效果 |
| Evaluation of surgical outcomes for female pelvic organ prolapse based on magnetic resonance imaging of vaginal axial |
| 投稿时间：2025-03-10 |
| DOI：10.3969/J.issn.1672-6790.2025.03.020 |
| 中文关键词: 盆腔器官脱垂 妇科外科手术 腹腔镜检查 磁共振成像 |
| 英文关键词: Pelvic organ prolapse Gynecologic surgical procedures Laparoscopy Magnetic resonance imaging 〖FL |
| 基金项目:安徽省教育厅重点项目(2024AH052046)；安徽省合肥市自然科学基金项目(HZR2442)；安徽省重点研究与开发项目(202004j07020016) |
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| 中文摘要: |
| 目的 通过磁共振成像(MRI)技术,评估腹腔镜改良宫骶韧带悬吊术(改良USLS)与腹腔镜骶骨固定术(SCP)对阴道解剖位置恢复的疗效。方法 回顾性分析2022年4月至10月在中国科学技术大学附属第一医院(安徽省立医院)接受手术治疗的44例症状性盆腔器官脱垂(POP)患者临床资料,其中改良USLS组24例,SCP组20例。通过MRI技术,采用2条参考线耻尾线(PCL)及耻骨联合下缘至第3骶椎中点连线(PS3L),测量中上阴道远端、中端和近端与参考线距离,以及中上阴道轴线与参考线夹角。结果 2组患者PS3L和PCL参考线的长度,差异无统计学意义(P＞0.05)。阴道解剖位点至PS3L和PCL参考线距离,2组C-PS3L和C-PCL,差异均有统计学意义(P＜0.05)；而b-PS3L、b-PCL、D-PS3L和D-PCL,差异均无统计学意义(P＞0.05)。阴道中上段轴线与PS3L和PCL参考线夹角,2组间差异均有统计学意义(P＜0.05)。结论 改良USLS术后阴道中上段轴向的恢复效果优于SCP,更接近阴道生理轴向。 |
| 英文摘要: |
| Objective To evaluate the effect of laparoscopic modified uterosacral ligament suspension (modified USLS) and laparoscopic sacral colpopexy (SCP) on the restoration of vaginal anatomical position by magnetic resonance imaging (MRI) technique.Methods A retrospective analysis was conducted on the data of 44 patients with symptomatic pelvic organ prolapse (POP) who underwent surgical treatment at the First Affiliated Hospital of the University of Science and Technology of China from April to October 2022.Among them,there were 24 cases in the modified USLS group and 20 cases in the SCP group.Two reference lines were used:the pubococcygeal line (PCL) and the line connecting the lower edge of the pubic symphysis to the midpoint of the 3rd sacral vertebra (PS3L).The distances from the distal,middle,and proximal points of the middle and upper vagina to the reference lines,as well as the angles between the middle and upper vagina and the reference lines,were measured.Results There was no statistically significant difference in the length of PS3L and PCL reference lines between the two groups (P>0.05).In terms of the distances from vaginal anatomical sites to PS3L and PCL reference lines,there were statistically significant differences in C-PS3L and C-PCL between the two groups (P<0.05),while no statistically significant differences were observed in b-PS3L,b-PCL,D-PS3L,and D-PCL (P>0.05).Regarding the angles between the mid-upper vaginal axis and PS3L/PCL reference lines,statistically significant differences were found in both groups (P<0.05).Conclusions The recovery effect of the mid-upper vaginal axis after modified USLS was significantly better than that after SCP,being closer to the physiological vaginal axis. |
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