同步联合盆腔器官造影术对女性盆底功能性疾病的研究

Diagnosis of female pelvic floor functional diseases using simultaneous combined pelvic organography

目的 探讨女性复杂盆底功能性疾病盆底形态学特征 ,评价同步联合盆腔器官造影术的临床价值。方法 采用同步联合盆腔器官造影术 (膀胱尿道造影 +腹膜腔造影 +阴道造影 +排粪造影 )检查 3 0例有典型临床症状的女性复杂盆底功能性疾病患者 ,观测盆底异常形态学特征 (盆腔器官脱垂和盆底病变 )。结果 女性复杂盆底功能性疾病患者临床表现多样 ,以具有 4种症状的患者最多 ,几种盆底病变并存 ,其中以 5种复合病变的患者最多 ,而只有 1～ 2种病变的患者少见 ,形态学特征与临床表现具有很好的一致性。结论 女性复杂盆底功能性疾病表现为多个盆腔器官脱垂和盆底病变 ,同步联合盆腔器官造影术有助于更准确、全面地评价复杂盆底功能性疾病 ,为指导临床制定治疗计划提供可靠的客观依据。

Objective To explore the morphologic characteristics of the complex female pelvic floor functional diseases and to evaluate the value of simultaneous combined pelvic organography in diagnosing the complex female pelvic floor functional diseases. Methods Simultaneous combined pelvic organography, including cystourethrography, peritoneography, colpography, and defecography, was used to examine 30 women with complex pelvic floor disorders and to observe the abnormal morphological characteristics of the pelvic floor, including pelvic organ prolapse and pathological changes of the pelvic floor. Results Patients with complex pelvic floor functional diseases had multiple clinical symptoms (mostly 4 kinds) and multiple pelvic floor pathological changes (mostly 5 kinds, and few 1-2 kinds). A high concurrence was found between the morphologic characteristics of the pelvic floor and the clinical manifestations in female patients with complex pelvic floor functional diseases. Conclusion Female complex pelvic floor functional diseases often display multiple pelvic organ prolapses and pathological changes of the pelvic floor. Simultaneous combined pelvic organography is helpful to provide more accurate and across the board diagnosis of patients with complex pelvic floor functional diseases.