Engagement de la tête fœtale : échographie transpérinéale, un nouvel outil diagnostique ?

Rivaux, G.; Dedet, B.; Delarue, E.; Depret, S.; Closset, E.; Deruelle, Philippe

doi:10.1016/j.gyobfe.2011.07.012

Cited by 21 publications

(2 citation statements)

References 12 publications

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“…Examination of viability, fetal lie, presentation and position of the head [ 6 – 8 ] can be done by transabdominal ultrasound. Fetal station can be assessed with a transperineal approach by measuring fetal head-perineum distance [ 9 – 12 ] or angle of progression [ 13 , 14 ]. Women report less pain when examined with transperineal ultrasound compared to digital examination [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Agreement between transperineal ultrasound measurements and digital examinations of cervical dilatation during labor

Benediktsdóttir

Eggebø

Salvesen

2015

BMC Pregnancy Childbirth

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BackgroundTo compare 2D transperineal ultrasound assessment of cervical dilatation with vaginal examination and to investigate intra-observer variability of the ultrasound method.MethodsA prospective observational study was performed at Skane University Hospital, Lund, Sweden between October 2013 and June 2014. Women with one fetus in cephalic presentation at term had the cervical dilatation assessed with ultrasound and digital vaginal examinations during labor. Inter-method agreement between ultrasound and digital examinations and intra-observer repeatability of ultrasound examinations were tested.ResultsCervical dilatation was successfully assessed with ultrasound in 61/86 (71 %) women. The mean difference between cervical dilatation and ultrasound measurement was 0.9 cm (95 % CI 0.47–1.34). Interclass correlation coefficient (ICC) was 0.83 (95 % CI 0.72–0.90). Intra-observer repeatability was analysed in 26 women. The intra-observer ICC was 0.99 (95 % CI 0.97–0.99). The repeatability coefficient was ± 0.68 (95 % CI 0.45–0.91).ConclusionThe mean ultrasound measurement of cervical dilatation was approximately 1 cm less than clinical assessment. The intra-observer repeatability of ultrasound measurements was high.

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Section: Introductionmentioning

confidence: 99%

Agreement between transperineal ultrasound measurements and digital examinations of cervical dilatation during labor

Benediktsdóttir

Eggebø

Salvesen

2015

BMC Pregnancy Childbirth

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“…С помощью ТПУС производится оценка длины, структуры шейки матки, а так-же оценка риска развития истмико-церви-кальной недостаточности [7][8][9]. Ряд авторов указали на результаты мониторинга родовой деятельности, получение информации о сте-пени открытия шейки матки, продвижении, фиксации головки и ее размерах, как весьма важные для прогноза родов [10][11][12][13][14][15].…”

Section: анализ литературных данных и постановка задачи исследованияunclassified

Translabial ultrasound: “three tracks” technique

Дощечкин

2017

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Introduction: there are various options for the application of an ultrasound transducer in transperineal sonography procedure (TPUS), starting from percutaneous scanning of the perineum area by sector transducers and ending with the use of transalabial (TLUS), transvaginal (TVUS) and transrectal access by the intracavitary transducers. In all these cases, it is necessary to identify the relationships of pelvic organs. The ultrasonic technique of the “three tracks” (TTT) allows real-time evaluation of the spatial ratio of the urethra, vagina and rectum, as well as adjacent subjects of the pelvis, visualizing them simultaneously in the same scanning plane.Objective: to present the “three track» technique used in the conduct of translabial ultrasonography, and to study the results of revealing the pathology in lower pelvis in comparison with routine transvaginal ultrasonography (TVUS).Participants, settings, methods: the study was conducted between January 18, 2016 and November 27, 2017 in the clinic for reproductive medicine “Remedi” (Odesa). Informed consent to the investigation was obtained from all females. 70 patients of the main group underwent translabial ultrasonography in the “three track” technique (TLUS + TTT). 71 women of comparative group underwent a routine transvaginal ultrasonography.Results and discussion: visualization of three tracks: urethra, vagina and rectum in one scan plane was achieved in 65 patients of the main group (93%). In addition, in the main group, approximately twice as often as in the comparison group, a rare pathology of the lower pelvis, such as Gartner duct cysts, the Bartolin cysts, the deep endometriosis of the rectovaginal septum and unclassified cysts of the vagina, were found. However, the insufficient number of obtained results does not allow confirming their reliability.Conclusion: the using of TTT during TLUS, extends the diagnostic opportunities of the examiner in the evaluation of the relationship of adjacent organs and tissues in the pelvic floor and lower pelvis. The method requires further research and can be used as an additional bonus to improve for accuracy and safety of diagnostic and surgical gynecological practice.There is no conflict of interest to declare.

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