title: [Method and significance of ultrasonographic assessment of the uterine weight before pelvic floor reconstruction].
abstract: OBJECTIVE
  To investigate the accuracy of ultrasonographic assessment of the total uterine weight and the feasibility of using this method in the pelvic floor reconstruction.
  
  
  METHODS
  Firstly, 81 cases with hysterectomy due to benign uterine diseases or uterine prolapse were studied. The preoperative dimensions and gravities of corpus uteri and cervix were calculated by formulas, and were then compared with the postoperative measurements. Subsequently, 46 cases with pelvic floor reconstruction and preserved the uterus were subjected to retrospectively analysis of uterine measurement parameters.
  
  
  RESULTS
  There were no statistically differences between the preoperative and postoperative diameters of corpus uteri and cervix (P > 0.05), and no statistically differences between the weight of corpus uteri and cervix estimated by the formulas [(87 ± 55), (32 ± 6) g] and the true weight [(88 ± 57), (33 ± 6) g; P > 0.05]. In 46 cases that underwent the pelvic floor reconstruction by transvaginal mesh repair and preserved the uterus, 42 cases were successful treated and the average weight of total uterus was (49 ± 13) g (95%CI: 39.90-49.88 g); the 4 relapsed cases were treated with hysterectomy and the weight of total uterus were 85.24, 82.69, 92.67 and 120.06 g which were consistent with the weights estimated by the formulas (87.36, 82.00, 90.88, 123.12 g; all P > 0.05).
  
  
  CONCLUSIONS
  The uterine weight might be a significant factor for uterus preservation in pelvic floor reconstruction, while ultrasonographic assessment can accurately estimate the uterine weight preoperatively. All these raised the feasibility of assessing uterine weight preoperatively in pelvic floor reconstruction.
authors.affiliation: Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, China.
authors.forename: Ning
authors.initials: N
authors.lastname: Ma
authors.affiliation: Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, China.
authors.forename: Li
authors.initials: L
authors.lastname: Jiang
authors.affiliation: Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, China.
authors.forename: Yanqing
authors.initials: Y
authors.lastname: Wu
authors.affiliation: Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, China.
authors.forename: Lurong
authors.initials: L
authors.lastname: Huang
authors.affiliation: Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, China.
authors.forename: Shuixiu
authors.initials: S
authors.lastname: Fan
authors.affiliation: Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, China.
authors.forename: Limin
authors.initials: L
authors.lastname: Chen
authors.affiliation: Department of Obstetrics and Gynecology, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, China. Email: zlele@126.com.
authors.forename: Yanfeng
authors.initials: Y
authors.lastname: Song
mesh_terms: D002584:Cervix Uteri / Q000000981:diagnostic imaging*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy; D009929:Organ Size; D017773:Pelvic Floor / Q000000981:diagnostic imaging* / Q000601:surgery; D012189:Retrospective Studies; D013526:Surgical Mesh; D014463:Ultrasonography; D014591:Uterine Diseases / Q000601:surgery*; D014596:Uterine Prolapse / Q000601:surgery*