Đặc điểm hình ảnh cộng hưởng từ động học tổng phân ở nhóm bệnh nhân nữ rối loạn chức năng sàn chậu trên 60 tuổi

Magnetic Resonance Defecography in female patients with pelvic floor dysfunction age from 60

SUMMARY

Objective: We describe characteristics dynamic MR defecography in female patients with pelvic floor dysfunction, age from 60.

Methods Describing cross-study. 106 patients were indicated magnetic resonance defecography by coloproctologist from 09/2016 to 04/2017, at Thong Nhat Hospital, Ho Chi Minh City.

Results Defecatory dysfunction is the most common symptom (83,1%). The prevalence of urinary incontinence and pain is 34% and 59,4%, respectively. There is a significant difference in the ratio of pelvic floor descent between the groups who have and no have children. The ratio of pelvic floor descent of the group who have 1-2 children is significantly greater than the group have more than 3 children. The correlation between age and the degree of pelvic floor descent is weak. The combination of pelvic organ prolapses usually occurs. If there is only one pelvic compartment prolapse, it is the posterior compartment prolapse, which counts for only 5,6%. The degree of all the rectoceles is from the second degree and 83,1% of this still contain ultrasound gel after defecation phase. The prevalence of Anismus is only 3/106 and none of this combine with retocele.

Conclusions Age, menopause and childbirth all have influence on the weakness of pelvic floor. In the older group, the combination of pelvic floor organ prolapses usually occurs. Rectocele is also common while Anismus is a uncommon condition.

Keywords: MR defecography, pelvic floor dysfunction, female age from 60, rectocele, Anismus.