ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH CỘNG HƯỞNG TỪ ĐỘNG HỌC SÀN CHẬU Ở BỆNH NHÂN SA SINH DỤC NỮ

Abstract

Purpose: To describe clinical features and pelvic floor dynamic magnetic resonance imaging in patients with female genital prolapse. Material and methods: a cross-sectional descriptive study on 52 patients with clinical pelvic floor dysfunction, pelvic floor dynamic magnetic resonance imaging and diagnosed genital prolapse at Hanoi Medical University Hospital from 10/2021 to 05/2023. Results: The mean age was 61.1±14.3, the highest was 90 years old and the lowest was 27 years old. The rate of genital prolapse was most common in the age group 50-80 years old (accounting for 65.4%). Percentage of patients having menopause was 76.9%. The majority (92.3%) of patients gave birth vaginally. The birth rate of 2 or more children was 90.4%, the birth rate of 3 or more children was 40.4%. There were 4/52 patients with a history of hysterectomy, accounting for 7.7%. The most common vaginal symptom was palpable protrusion during exertion (accounting for 42.3%), followed by no palpable vaginal prolapse (34.6%) and up to 23.1% of patients continuous palpated prolapse in the vagina. Patients with no symptoms in the urinary tract accounted for 44.2%, followed by dysuria symptoms 28.8%, urinary incontinence 25%, and the least common urinary incontinence 1.9%. There were 20/52 patients (accounting for 34.5%) without symptoms of urinary tract disorder, these patients went to the doctor because they found a protrusion in the vagina, or discovered by chance the genital prolapse when going to the doctor because of symptoms of disorder. defecation. Most of the patients who went to the doctor had symptoms of constipation (accounting for 63.5%). Dynamic magnetic resonance of the pelvic floor clearly revealed genital prolapse during the evacuation phase. The degree of uterine lowering increased in evacuation phase compared with rest phase and increased with the degree of genital prolapse p < 0.01. Conclusion: Pelvic floor dynamic magnetic resonance was a method of choice to evaluate genital prolapse and other accompanying pelvic floor pathologies to help choose the right treatment for each disease.