Quantification of levator ani cross-sectional area differences between women with and those without prolapse
Quantification of levator ani cross-sectional area differences between women with and those without prolapse
复制标题
DOI:
10.1097/01.aog.0000233153.75175.34
复制
发表时间:
2006-10-01
影响因子:
7.2
通讯作者:
DeLancey, John O. L.
中科院分区:
文献类型:
--
作者:
Hsu, Yvonne;Chen, Luyun;DeLancey, John O. L.
OBJECTIVE: Compare levator ani cross-sectional area as a function of prolapse and muscle defect status.METHODS: Thirty women with prolapse and 30 women with normal pelvic support were selected from an ongoing case-control study of prolapse. For each of the two groups, 10 women were selected from three categories of levator defect severity: none, minor, and major identified on supine magnetic resonance scans. Using those scans, three-dimensional (3D) models of the levator ani muscles were made using a modeling program (313 Slicer), and cross-sections of the pubic portion were calculated perpendicular to the muscle fiber direction using another program, I-DEAS. An analysis of variance was performed.RESULTS: The ventral component of the levator muscle of women with major defects had a 36% smaller crosssectional area, and women with minor defects had a 29% smaller cross-sectional area compared with the women with no defects (P