PDF(Pubmed)
Abstract：
BACKGROUND: Pelvic floor dysfunction (PFD) is frequently reported in both sexes. Dynamic magnetic resonance defecography (DMRD) is the preferred modality, mainly due to its superiority and complementary role in clinical examination. However, studies from the perspective of Indian patients are scarce and mostly restricted to females. Thus, we assessed the diagnostic performance of DMRD in patients with PFD and correlated the findings with those on clinical examination.
METHODS: This prospective, observational study involved 57 adult patients of either sex, presenting with pelvic floor symptoms (PFS) and diagnosed with PFD. Initially, the patients underwent clinical examination, and diagnosis was recorded. Subsequently, the patients were subjected to DMRD. The findings were correlated with the Pearson \"r\" correlation coefficient.
RESULTS: A significantly greater proportion of patients had involvement of multiple compartments (36 vs. 12, p<0.001), cystocele (23 vs. 8, p=0.002), and rectal prolapse (25 vs. 14, p=0.030) on DMRD than clinical examination, while there was no significant difference regarding uterine prolapse (p=0.789). Grading of cystocele and rectal prolapse as well as diagnosis of enterocele/peritoneocele, rectocele, and intussusception could be done only with DMRD. DMRD had a strong and significant correlation with clinical examination regarding cystocele (r=0.943, p=0.003), uterine prolapse (r=0.972, p=0.001), and rectal prolapse (r=0.951, p=0.001).
CONCLUSIONS: DMRD demonstrated significantly better performance in the diagnosis of multiple compartment involvement, cystocele, and rectal prolapse. DMRD and clinical examination were significantly correlated regarding the diagnosis of cystocele, uterine prolapse, and rectal prolapse. Thus, DMRD provides information, in addition to the clinical examination, and should be used in symptomatic patients.
METHODS: This prospective, observational study involved 57 adult patients of either sex, presenting with pelvic floor symptoms (PFS) and diagnosed with PFD. Initially, the patients underwent clinical examination, and diagnosis was recorded. Subsequently, the patients were subjected to DMRD. The findings were correlated with the Pearson \"r\" correlation coefficient.
RESULTS: A significantly greater proportion of patients had involvement of multiple compartments (36 vs. 12, p<0.001), cystocele (23 vs. 8, p=0.002), and rectal prolapse (25 vs. 14, p=0.030) on DMRD than clinical examination, while there was no significant difference regarding uterine prolapse (p=0.789). Grading of cystocele and rectal prolapse as well as diagnosis of enterocele/peritoneocele, rectocele, and intussusception could be done only with DMRD. DMRD had a strong and significant correlation with clinical examination regarding cystocele (r=0.943, p=0.003), uterine prolapse (r=0.972, p=0.001), and rectal prolapse (r=0.951, p=0.001).
CONCLUSIONS: DMRD demonstrated significantly better performance in the diagnosis of multiple compartment involvement, cystocele, and rectal prolapse. DMRD and clinical examination were significantly correlated regarding the diagnosis of cystocele, uterine prolapse, and rectal prolapse. Thus, DMRD provides information, in addition to the clinical examination, and should be used in symptomatic patients.
摘要：
背景：盆底功能障碍（PFD）经常在男女中报告。动态磁共振排粪造影（DMRD）是首选模式，主要是由于其在临床检查中的优越性和补充作用。然而,从印度患者的角度进行的研究很少，而且大多局限于女性。因此，我们评估了DMRD在PFD患者中的诊断表现,并将结果与临床检查结果相关联.
方法：这种前瞻性，观察性研究包括57名男女成人患者，表现为盆底症状（PFS）并诊断为PFD。最初，患者接受了临床检查，并记录诊断。随后，患者接受了DMRD。研究结果与Pearson“r”相关系数相关。
结果：受累于多个隔室的患者比例明显更高（36vs.12，p<0.001)，膀胱膨出（23vs.8，p=0.002），和直肠脱垂（25vs.14，p=0.030）在DMRD上比临床检查，而子宫脱垂没有显着差异（p=0.789）。膀胱膨出和直肠脱垂的分级以及肠膨出/腹膜膨出的诊断，直肠膨出,肠套叠只能用DMRD进行。DMRD与膀胱膨出的临床检查有很强的显著相关性(r=0.943,p=0.003),子宫脱垂（r=0.972，p=0.001），直肠脱垂（r=0.951，p=0.001）。
结论：DMRD在多室受累的诊断中表现明显更好，膀胱膨出,直肠脱垂.关于膀胱膨出的诊断，DMRD和临床检查显着相关。子宫脱垂,直肠脱垂.因此，DMRD提供信息，除了临床检查，应用于有症状的患者。
方法：这种前瞻性，观察性研究包括57名男女成人患者，表现为盆底症状（PFS）并诊断为PFD。最初，患者接受了临床检查，并记录诊断。随后，患者接受了DMRD。研究结果与Pearson“r”相关系数相关。
结果：受累于多个隔室的患者比例明显更高（36vs.12，p<0.001)，膀胱膨出（23vs.8，p=0.002），和直肠脱垂（25vs.14，p=0.030）在DMRD上比临床检查，而子宫脱垂没有显着差异（p=0.789）。膀胱膨出和直肠脱垂的分级以及肠膨出/腹膜膨出的诊断，直肠膨出,肠套叠只能用DMRD进行。DMRD与膀胱膨出的临床检查有很强的显著相关性(r=0.943,p=0.003),子宫脱垂（r=0.972，p=0.001），直肠脱垂（r=0.951，p=0.001）。
结论：DMRD在多室受累的诊断中表现明显更好，膀胱膨出,直肠脱垂.关于膀胱膨出的诊断，DMRD和临床检查显着相关。子宫脱垂,直肠脱垂.因此，DMRD提供信息，除了临床检查，应用于有症状的患者。
