Female outlet obstruction constipation: assessment with MR defecography
10.3760/cma.j.issn.1005-1201.2010.11.015
- VernacularTitle:MR排粪造影在女性出口梗阻型便秘研究中的应用价值
- Author:
Min LI
;
Tao JIANG
;
Xinqing YANG
;
Peng PENG
;
Wenchuan WANG
- Publication Type:Journal Article
- Keywords:
Constipation;
Pelvic floor;
Magnetic resonance imaging
- From:
Chinese Journal of Radiology
2010;44(11):1176-1179
- CountryChina
- Language:Chinese
-
Abstract:
Objective Using MR defecography to assess the morphological and functional anorectal anomalies related to female outlet obstruction constipation, and evaluate the joint disease of anterior and mid pelvic. Methods One hundred and seven female patients, aged 20 to 84 years ( average, 55 years), were diagnosed as outlet obstruction constipation based on clinical symptoms and signs. They all received MR defecography in our institution. The high compliance homemade balloon was inserted into rectum to simulate stool Then relevant measurements were obtained during rest, squeezing and straining, respectively. Results In all the 107 cases, 70 ( 65.4% ) presented rectocele on dynamic MRI; 28 ( 26. 2% ) presented anismus;60 (56. 1% ) presented cystocele; 59 presented vaginal or cervical prolapse(55. 1% ); and, 54 (50. 5% )presented descending perineum. In 85 females (79.4%) multiple disorders were detected, involving more than one pelvic compartment. Conclusion MR defecography allowed to accurately evaluate the morphological and functional anorectal anomalies related to female outlet obstruction constipation, and the joint disease of anterior and mid pelvic.
