Visualization of mesh on computed tomographic images after pelvic organ prolapse surgery
Visualization of mesh on computed tomographic images after pelvic organ prolapse surgery
复制标题
盆腔器官脱垂手术后计算机断层扫描图像上网格的可视化
DOI：
10.1111/iju.14762
复制
发表时间：
2021
影响因子：
2.6
通讯作者：
Y. Kitagawa
中科院分区：
文献类型：
--
作者：
A. Yamaguchi;K. Miwa;Kazuya Nakahira;Y. Moriyama;Y. Kitagawa
重建补片已被广泛用作POP的手术治疗;然而，当术后发生并发症时，很难确定植入补片的实际情况。为了可视化网格，在日常实践中使用超声诊断。1，2超声成像过程很容易进行，并且在描绘尿道远端方面非常有效。然而，由于无法描绘近端侧，包括阴道尖和补片臂，因此可获得的信息有限。已报告使用MRI对补片进行可视化，其中补片在T2增强成像上显示为线性低信号;然而，很难将补片与周围瘢痕组织和伪影区分开来。3，4聚丙烯补片（一种射线可透材料）已用于POP手术;然而，ORIHIME补片（CROWNJUN Kouno Co.，日本）目前在日本使用的是聚四氟乙烯，一种不透射线的材料。这种材料也用于阿尔蒂血管和支架移植物，这些医疗植入物可以在X射线上检测到
reconstructive the and mesh has been widely used as a surgical treatment for POP; however, it is dif fi cult to ascertain the actual condition of the implanted mesh when complications occur after surgery. To visualize mesh, ultrasonic diag-nostics are used in daily practice. 1,2 The ultrasonic imaging procedure is easily performed and is very effective in delineating the distal side of the urethra. However, there is a limit to the information that can be obtained because it is not possible to depict the proximal side, including the apex of the vagina and the mesh arm. Visualization of mesh using MRI, whereby the mesh was visualized as a linear low signal on T2-enhanced imaging, has been reported; how-ever, it was dif fi cult to differentiate mesh from surrounding scar tissue and artifacts. 3,4 Polypropylene mesh, a radiolucent material, had been used for POP surgery; however, the ORIHIME mesh (CROWNJUN Kouno Co., Japan) currently used in Japan is made of polytetra fl uoroethylene, a radiopaque material. This material is also used for arti fi cial blood vessels and stent grafts, and these medical implants can be detected on X-ray