Pelvic floor disorders: what's the best test?
Pelvic floor disorders: what's the best test?
复制标题
DOI：
10.1007/s00261-013-0039-z
复制
发表时间：
2013-12-01
影响因子：
--
通讯作者：
Maglinte, Dean D. T.
中科院分区：
文献类型：
--
作者：
Silva, Ana Catarina A.;Maglinte, Dean D. T.
骨盆底功能障碍是一种常见的健康问题，特别是影响绝经后妇女的生活质量显着。这些患者中有许多人多年来没有得到适当的治疗，这通常是由于缺乏计划适当治疗所需的客观发现。由于不同盆腔腔室的异常经常相关，因此彻底诊断有多少腔室受到影响是至关重要的，以便计划管理方法，包括多学科手术方法。这篇图片文章将回顾用于表征这些疾病的不同成像方法、如何进行这些方法及其原理，提供临床上可理解的解释，并具有临床相关性以及透视和MR排粪造影之间的相关性，以说明每种方法的优点和缺点。在过去的几十年里，随着科学和专业交流的增加，使用标准化、可靠和临床可理解的量化方法的必要性变得更加明显。对用于传达影像学检查结果的分级系统的回顾也强调了使用标准化工具比较和传达临床检查结果的重要性，这些结果可被转诊医生理解，并具有经证实的观察者间和观察者内检查一致性。
Pelvic floor dysfunctions represent a common health problem affecting particularly post-menopausal women impacting significantly the quality of life. A large number of these patients suffer for many years without proper treatment often due to the lack of objective findings necessary to plan proper treatment. Because abnormalities of the different pelvic compartments are frequently associated, thorough diagnostic characterization of how many compartments are affected is paramount in order to plan the management approach that can include a multidisciplinary surgical approach. This pictorial essay will review the different imaging methods used for the characterization of these disorders, how to do them and its rationale providing a clinically understandable interpretation with clinical correlates and a correlation between fluoroscopic and MR defecography in order to illustrate the strengths and shortcomings of each. The need to use a standardized, reliable, and clinically understandable method of quantification has become more obvious in the last decades with the increasing rate of scientific and professional interchanges. A review of the grading systems used to convey the imaging findings also highlights the importance of using a standardized tool for comparing and communicating clinical findings understandable to referring physicians with proven interobserver and intra-observer agreement of the examinations.