Do ultrasound findings of levator ani "avulsion" correlate with anatomical findings: A multicenter cadaveric study
Do ultrasound findings of levator ani "avulsion" correlate with anatomical findings: A multicenter cadaveric study
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DOI：
10.1002/nau.22781
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发表时间：
2016-08-01
影响因子：
2
通讯作者：
Khullar, Vik
中科院分区：
文献类型：
--
作者：
Da Silva, Ana Sofia;Digesu, G. Alessandro;Khullar, Vik
目的通过对同一具女性身体的上提肌撕脱伤的超声检查和解剖解剖进行对照研究。方法采用三维经唇部超声对女性身体耻骨周围肌(PVM)进行解剖研究，并按Dietz HP标准推荐标准进行解剖。《妇科杂志》53：220-230,2013]。然后解剖身体以确定PVM的宏观附着或脱离，以及PVM联合间隙和PVM附着深度的大小。分别使用Cohen‘s图和Bland&Altman图评估USS发现和解剖测量的观察者内和观察者间的可靠性。采用McNemar‘s和Mann-Whitney U检验方法对影像和身体解剖结果进行比较。结果30例身体标本中，11例(36.7%)在影像上可见突起，其中双侧1例(3.3%)，单侧10例(33.3%)。解剖时未发现撕脱(McNemar‘s(2)=60.0，P
AimsThis study aimed to validate the levator avulsion injury as seen on ultrasound against anatomical dissection in the same cadaver.MethodsPuboviseral muscle (PVM) anatomy of female cadavers was studied using 3D-translabial ultrasonography and an avulsion confirmed per standard recommendations [Dietz HP. Aust N Z J Obstet Gynaecol 53:220-230, 2013]. Cadavers were then dissected to determine the macroscopic attachment or detachment of the PVM and the dimensions including the PVM symphysis gap and PVM attachment depth. Intra and inter-observer reliability of USS findings and anatomical measurements were assessed using the Cohen's and Bland & Altman plots respectively. McNemar's and Mann-Whitney U tests were used to compare imaging and cadaveric dissection findings.ResultsAvulsions were seen on imaging in 11/30 (36.7%) cadavers; the defect was bilateral in 1/30 (3.3%) and unilateral in 10/30 (33.3%). No avulsion was found at dissection (McNemar's (2)=60.0, P