ĐẶC ĐIỂM HÌNH ẢNH CỘNG HƯỞNG TỪ ĐỘNG TRONG BỆNH LÝ SA TRỰC TRÀNG KIỂU TÚI Ở NỮ

Abstract

Background: Rectocele is a common condition in women, which often presents with symptoms such as bowel and urinary dysfunction, significantly affecting quality of life. Dynamic magnetic resonance imaging (MRI) is a valuable tool for diagnosing rectocele and assessing related factors. Our study aimed to describe dynamic MRI characteristics in female with rectocele at Trieu An Hospital from May 2016 to June 2024. Methods: A cross-sectional study was conducted on 123 female patients with pelvic floor dysfunction symptoms, who underwent dynamic MRI at Trieu An Hospital from May 2016 to June 2024. Results: Rectocele was identified in 85 out of 123 patients (69.1%), with an average prolapse size of 2.2 cm (0.6–4.7 cm) and an average neck size of 2.8 cm (0.3–6 cm). Grade 2 rectocele was the most common (34.1%), followed by grade 1 (28.5%) and grade 3 (6.5%). According to the Marti classification, Marti I (finger-like shape) accounted for 26.8%, Marti II (round pouch) for 22.8%, and Marti III (rectocele with intussusception) for 19.5%. Women who had given birth had a 4.7 times higher risk of developing rectocele, and those with defecation disorders had a 4.2 times higher risk compared to those without. Additionally, posterior compartment prolapse, uterine prolapse, and bladder prolapse were significantly associated with rectocele (P<0.01). Conclusion: Dynamic pelvic MRI provides a comprehensive and accurate assessment of rectocele and its associated risk factors. Utilizing this imaging technique enhances the ability to develop tailored treatment approaches for women with pelvic floor dysfunction, improving clinical outcomes