Real-time three-dimensional perineal ultrasound in evaluation on curative effect of different surgical methods in patients with middle compartment pelvic floor prolapse
10.13929/j.1003-3289.201902004
- Author:
Yun LIN
1
Author Information
1. Department of Ultrasound, Chongqing Health Centre for Women and Children
- Publication Type:Journal Article
- Keywords:
Pelvic;
Prolapse;
Surgical procedures;
Ultrasonography
- From:
Chinese Journal of Medical Imaging Technology
2019;35(9):1375-1378
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the value of real-time three-dimentional perineal ultrasound for quantitative analyzing clinical effect of unilateral sacrospinous ligament suspension, bilateral sacrospinous ligament suspension and bilateral sacrospinous ligament suspension using meshes in treatment of severe middle compartment pelvic floor prolapse. Methods: Data of 96 patients with III or higher degree middle compartment pelvic floor prolapse who underwent surgeries were analyzed retrospectively. The patients were divided into 3 groups according to different surgeries, including unilateral sacrospinous ligament suspension group (group A, n=23), bilateral sacrospinous ligament suspension group (group B, n=34) and bilateral sacrospinous ligament suspension using meshes group (group C, n=39). At 1, 3 and 6 months after operation, the distance between lowest point of cervical external orifice and lower edge of pubic symphysis (CVD) and the area of levator ani hiatus (ALH) were measured with real-time three-dimensional perineal ultrasound. The recurrence rate 6 months after operation was calculated and compared. Results: In group A, CVD at 3 and 6 months after surgery were lower than that 1 month after surgery (P=0.005, 0.012), while ALH 6 months after surgery was higher than that 3 months after surgery (P=0.002). In group B, CVD and ALH were significant different between 6 months and 3 months after surgery (P=0.014, 0.007). In group C, ALH were significant different between 6 months and 1 month after surgery (P=0.009). Six months after surgical operation, the recurrence rate of middle compartment pelvic floor prolapse in group A, B and C was 13.04% (3/23), 8.82% (3/34) and 2.56% (1/39), respectively, in group C was lower than in group A and B (both P<0.017). Conclusion: Bilateral sacrospinous ligament suspension using meshes is a minimal invasive surgery with better curative effect and lower recurrence rate for treatment of middle compartment pelvic floor prolapse. Real-time three-dimensional perineal ultrasound can directly and accurately evaluate curative effect of surgical operation of middle compartment pelvic floor prolapse.
