动态MR排粪造影在女性出口梗阻型便秘的应用价值13.docVIP

动态MR排粪造影在女性出口梗阻型便秘的应用价值 马喜娟1 郝敬明1 孙晋军1 杨光2 孙尚颖2 徐州市中心医院CT/MRI室T1-TFE）和平衡式稳态自由进动（B-TFE）序列，采集患者静息、提肛及排便时盆底结构的矢状位图像，测量盆底的相关数据。 结果 ①26例患者DMRD均发现盆底结构功能异常，与临床最终诊断结果完全符合者20例（20/26）。DMRD诊断直肠膨出2例（2/26）；耻骨直肠肌肥厚1例（1/26）；联合性病变23例（23/26），直肠膨出、会阴下降、膀胱脱垂、子宫颈脱垂、盆底痉挛、耻骨直肠肌肥厚、直肠黏膜脱垂以不同组合方式出现。②T1-TFE和B-TFE两种检查序列诊断结果一致，前者图像信噪比优于后者。结论 DMRD两种序列均能准确评价女性出口梗阻型便秘患者的盆底形态及功能性病变，前者图像质量更佳。 【关键词】磁共振成像；排粪造影；便秘 Role of Dynamic MR Defecography in Female Outlet Obstruction Constipation MA Xi-juan1 HAO Jing-ming1 SUN Jin-jun1 YANG Guang2 SUN Shang-ying2 Department of CT and MRI（1），Anorectal Surgery （2）， Xuzhou central hospital，Xuzhou, jiangsu, 221009，China 【Abstract】Objective To evaluate the role of dynamic magnetic resonance defecography(DMRD) in female outlet obstruction constipation，and attempt to compare two dynamic MR sequences to optimize inspection methods。Methods Retrospective analysis the DMRD information of 26 female patients，aged 40 to 73 years(average，58 years)，all of which were diagnosed as outlet obstruction constipation based on clinication．All of the patients, placed in supine position, were instilled about 200 ml of synthetic stool (mashed corn starch) mixed with contrast agent into the rectum．The sagittal images of the pelvic floor were obtained during rest，squeezing and straining performed with T1W and Balanced turbo field echo(TFE) sequence, and the relevant measurements were obtained．Results ①All of the 26 patients were found in abnormal structure and function of the pelvic floor. MR results and clinical final diagnosis of 20 cases (20/26) are consistent. At DMRD, 2 cases (2/26) presented rectocele, 1 cases (1/26) presented puborectalis hypertrophy；23 cases presented joint lesions (23/26), rectocele, perineal decreased, bladder prolapse, cervical prolapse, pelvic floor spasm, puborectalis hypertrophy, and rectal prolapse occur in different combinations. ② T1-TFE and B-TFE sequence were consistent in the diagnosis of examination，with the former image signal to noise ratio r