Institute of Radiology, Second University of Naples, Naples, Italy.
J Biol Regul Homeost Agents. 2013 Jul-Sep;27(3):861-8.
Pelvic floor disorders represent a significant cause of morbidity associated with a severe reduction of quality of life. It represents a very common clinical problem that afflicts women three to seven time more often than men. The purpose of this study was to assess the diagnostic tools available to define the imaging strategy in patients with pelvic floor dynamic dysfunctions and to investigate their abilities in the diagnosis of enterocele, elytrocele and edrocele. From January 2008 to May 2011, 614 patients with symptoms related to pelvic floor dynamic dysfunctions were enrolled in our retrospective study. After anamnesis and clinical examination, entero-colpo-defecography (ECD) and supine entero-magnetic resonance (SE-MR) exams were performed in all patients. This study showed that the diagnostic efficacy of ECD is higher than that of SE-MR in the detection of enterocele and edrocele. Furthermore, elytrocele can be visualized only with ECD considering the position of patient during SE-MR examination. In addition, in patients planned for surgery, SE-MR is more useful to clarify the intra-pelvic interaction of multiple organ prolapse and to better define the pelvic anatomy and functioning.
盆腔器官脱垂疾病是一种发病率较高的疾病，会严重降低患者的生活质量。它是一种十分常见的临床问题，女性患者的发病率是男性的 3 到 7 倍。本研究旨在评估用于诊断盆腔器官脱垂的各种诊断工具，确定这些工具在诊断阴疝、阴道前壁膨出和阴道后壁膨出方面的应用价值。2008 年 1 月至 2011 年 5 月，我们对 614 例有盆腔器官脱垂相关症状的患者进行了回顾性研究。所有患者均接受了病史采集和临床检查，并进行了排粪造影和磁共振检查。本研究显示，在诊断阴疝和阴道后壁膨出方面，排粪造影的诊断效能高于磁共振检查。另外，由于磁共振检查时患者的体位，阴道前壁膨出仅在排粪造影时显示。此外，对于计划手术的患者，磁共振检查有助于明确多个器官脱垂的盆腔内相互作用，并更好地确定盆腔解剖结构和功能。
