经会阴盆底超声与盆腔器官脱垂定量检查(POP-Q)评估女性盆腔器官脱垂的一致性

目的 观察经会阴盆底超声(TPFUS)与盆腔器官脱垂定量检查(POP-Q)评估盆腔器官脱垂(POP)的一致性.方法 回顾性分析262例接受TPFUS和POP-Q评估的POP患者,观察TPFUS前盆腔测值U、中盆腔测值Cx和后盆腔测值R与POP-Q的Ba、C和Bp测值的相关性,以Kappa值评估2种方法诊断结果的一致性....

Concordance of transperineal pelvic floor ultrasound imaging and pelvic organ prolapse quantitive examination (POP-Q) in assessment of female pelvic organ prolapse

Objective To observe the concordance of transperineal pelvic floor ultrasound(TPFUS)and pelvic organ prolapse quantitive examination(POP-Q)in assessment of female pelvic organ prolapse(POP).Methods Data of 262 POP patients underwent TPFUS and POP-Q evaluation were retrospectively analyzed.The correlations of TPFUS measured values of U,Cx and R and POP-Q measured values of Ba,C and Bp of POP were analyzed.Kappa value was used to evaluate the consistency of these two methods.Results Among 262 patients,51(19.47%)were diagnosed as stage 0,60(22.90%)stageⅠ,60(22.90%)stageⅡ,47(17.94%)stageⅢand 44(16.79%)stageⅣPOP with POP-Q,while 129 cases(49.24%)were found with stageⅡ-Ⅳcystoceles,103(39.31%)with stageⅡ-Ⅳuterus prolapse and 68(25.95%)withⅡ-Ⅳstage rectocele.For stageⅡ-ⅣPOP,high correlations were found between the measurement values of U and Ba(r=0.88,P<0.001)as well as Cx and C(r=0.89,P<0.001),while low correlation was found between the measurement values of R and Bp(r=0.46,P<0.001).There was good coincident between TPFUS and POP-Q for detection of cystocele and uterus prolapse(Kappa=0.89,0.78,both P<0.001).Conclusion TPFUS and POP-Q were coincident in evaluation on cystocele and uterus prolapse.