State of the art: an integrated approach to pelvic floor ultrasonography

被引:137
作者
Santoro, G. A. [1 ]
Wieczorek, A. P. [2 ]
Dietz, H. P. [3 ]
Mellgren, A. [4 ]
Sultan, A. H. [5 ]
Shobeiri, S. A. [6 ]
Stankiewicz, A. [2 ]
Bartram, C. [7 ]
机构
[1] Treviso Reg Hosp, Dept Surg 1, Pelv Floor Unit, I-31100 Treviso, Italy
[2] Med Univ, Dept Paediat Radiol, Lublin, Poland
[3] Sydney Med Sch Nepean, Sydney, NSW, Australia
[4] Univ Minnesota, Div Colon & Rectal Surg, Minneapolis, MN USA
[5] Mayday Univ Hosp, Dept Obstet & Gynaecol, Croydon, Surrey, England
[6] Univ Oklahoma, Hlth Sci Ctr, Div Obstet & Gynecol, Sect Female Pelv Med & Reconstruct Surg, Oklahoma City, OK USA
[7] Princess Grace Hosp, Dept Radiol, London, England
关键词
3D ultrasound; endoanal ultrasonography; fecal incontinence; pelvic floor disorders; pelvic organ prolapse; transperineal ultrasonography; transvaginal ultrasonography; urinary incontinence; LEVATOR ANI MUSCLE; ANAL-SPHINCTER COMPLEX; TRANSPERINEAL 3-DIMENSIONAL ULTRASOUND; POSTERIOR COMPARTMENT PROLAPSE; BLADDER WALL THICKNESS; FECAL INCONTINENCE; VAGINAL DELIVERY; EVACUATION PROCTOGRAPHY; URINARY-INCONTINENCE; SURGICAL-MANAGEMENT;
D O I
10.1002/uog.8816
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Surgical management of pelvic floor disorders depends on a comprehensive understanding of the structural integrity and function of the pelvic floor. For visualizing this region, ultrasonography has emerged as a procedure that is relatively easy to perform, cost-effective and widely available. In this review, pelvic floor ultrasonography, including two-dimensional (2D), three-dimensional (3D) and 4D imaging as well as transvaginal, endoanal and transperineal techniques, is discussed from a global and multicompartmental perspective, rather than using a compartmentalized approach. The role of the different sonographic modalities in the major disorders of the pelvic floor - urinary and fecal incontinence, pelvic organ prolapse and obstructed defecation syndrome - is evaluated critically. Copyright (C) 2011 ISUOG. Published by John Wiley & Sons, Ltd.
引用
收藏
页码:381 / 396
页数:16
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