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.
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。