23. Hình ảnh cộng hưởng từ động sàn chậu trong bệnh lý sa bàng quang ở nữ giới có rối loạn chức năng sàn chậu

Abstract

The purpose of this study was to describe the characteristics of pelvic floor dynamic magnetic resonance imaging of cystocele in women with pelvic floor dysfunction. We performed a cross-sectional descriptive study of patients with cystocele on pelvic floor dynamic magnetic resonance imaging at Viet Duc Friendship Hospital from 7/2019 to 7/2022. The study was carried out on 58 patients, the average age was 59.17. The pelvic floor dynamic magnetic resonance clearly revealed cystocele during defecation. The degree of bladder neck lowering increased in the straining phase compared with the rest phase and increased with the degree of bladder prolapse, (p < 0.01). Urethral hypermobility was diagnosed in 100% of patients. In the straining phase, the length of the anterior vaginal wall increased significantly compared with the rest phase, and increased with the degree of bladder prolapse (p < 0.05). Bladder prolapse was related to pelvic floor prolapse according to H (p < 0.01), but not related to pelvic floor prolapse according to M (p > 0.05). Pelvic floor dynamic magnetic resonance is a method to comprehensively evaluate bladder prolapse and other associated pelvic floor pathologies to select the right treatment for each patient.