Hock D, Lombard R, Jehaes C, Markiewicz S, Penders L, Fontaine F, Cusumano G, Nelissen G
Department of Radiology, Centre Hospitalier Saint-Joseph-Espérance Liège, Belgium.
Dis Colon Rectum. 1993 Nov;36(11):1015-21. doi: 10.1007/BF02047292.
To assess, in one single procedure, a complete study of the female pelvis, including the Douglas pouch.
Colpocystodefecography (CCD) combines vaginal opacification, voiding cystography, and defecography. Three hundred examinations are reviewed.
Thanks to the simultaneous visualization of the pelvic structures, CCD proved to be more useful than clinical evaluation to diagnose prolapses and particularly Douglas pouch hernias (enteroceles), the clinical diagnosis of which was missed in 93 of 111 cases. Moreover, in addition to morphologic and functional information, CCD brings about a new insight in the study of pelvic organs reciprocal influences, should they be positive (supporting function) or negative (external compression). Finally, significative pelvic surgery and particularly hysterectomy enhances greatly the risk of enteroceles.
CCD is helpful in the preoperative staging, especially in the selection of the surgical procedure that will least likely predispose to possible late postoperative complications such as vaginal prolapses or enteroceles.
在单一检查过程中，对女性骨盆进行全面研究，包括Douglas窝。
阴道膀胱直肠造影（CCD）结合了阴道显影、排尿性膀胱造影和排粪造影。回顾了300例检查。
由于能同时显示盆腔结构，CCD在诊断脱垂尤其是Douglas窝疝（肠膨出）方面比临床评估更有用，111例中有93例临床诊断漏诊。此外，除了形态学和功能信息外，CCD还为盆腔器官相互影响的研究带来了新的见解，无论这种影响是积极的（支持功能）还是消极的（外部压迫）。最后，重大盆腔手术尤其是子宫切除术会大大增加肠膨出的风险。
CCD有助于术前分期，特别是在选择手术方式时，可降低术后晚期可能出现的并发症如阴道脱垂或肠膨出的风险。
