Comparative study of perineal ultrasound and X-ray defecography in diagnosing rectocele and
pelvic floor achalasia syndrome

LI Xue1; WANG Xue-mei2; JIANG Bin2

Journal of China Clinic Medical Imaging ›› 2017, Vol. 28 ›› Issue (11) : 817-821.

Comparative study of perineal ultrasound and X-ray defecography in diagnosing rectocele and pelvic floor achalasia syndrome

LI Xue1, WANG Xue-mei2, JIANG Bin2

Author information +

History +

Abstract

Objective: To compare the value of perineal ultrasound and defecography in diagnosing rectocele and pelvic floor achalasia syndrome. Methods: All patients were examined by perineal ultrasound and X-ray defecography. The diagnosing results of these two examinations in rectocele and pelvic floor achalasia syndrome were comparatively analyzed. Rectocele degrees were also compared. Results: Sixty-six cases of rectocele were positive and 8 cases were negative in perineal ultrasound, and in X-ray defecography 62 cases were positive and 12 were negative. There was no significant difference between groups(P>0.05). Fifty-seven cases of rectocele were diagnosed by both perineal ultrasound and X-ray defecography. The rectocele degrees had no significant difference(P>0.05) between two methods. By measuring rectocele degrees, perineal ultrasound and X-ray defecography diagnosed 25 cases mild rectocele, 23 cases moderate rectocele and 9 cases severe rectocele. There was no statistically significant difference between these groups by two examinations(P>0.05). Sixty cases of pelvic achalasia syndrome were positive and 14 cases were negative in perineal ultrasound, and in X-ray defecography 57 cases of pelvic floor achalasia syndrome were positive and 17 were negative. There was no significant difference between groups(P>0.05). Fifty cases of pelvic floor achalasia syndrome were diagnosed by both perineal ultrasound and X-ray defecography. The resting and efforts phase of anorecal angle had no significant difference(P>0.05). There was also no significant difference in the movement of musculus puborectalis(P>0.05). Conclusions: Perineal ultrasound is good at diagnosing rectocele and pelvic floor achalasia syndrome and it can be used to diagnose these two diseases.

Key words

Rectocele / Pelvic floor / Ultrasonography / Radiography

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

LI Xue1, WANG Xue-mei2, JIANG Bin2. Comparative study of perineal ultrasound and X-ray defecography in diagnosing rectocele and pelvic floor achalasia syndrome[J]. Journal of China Clinic Medical Imaging. 2017, 28(11): 817-821

References

[1]Swift S, Theofrastous JP. Aetiology and classification of pelvic organ prolapse[J]. Fem Urol Urogynecol, 2001, 30(21): 576-585. [2]Shorvon PJ, McHugh S, Diamant NE, et al. Defecography in normal volunteers: results and implications[J]. 1989, 30(14): 1737-1749. [3]Dietz HP, Korda A. Which bowel symptoms are most strongly associated with a true rectocele?[J]. Aust Z J Obstet Gynecol, 2009, 45(26): 505-508. [4]Felt-Bersma RJ, Luth WJ, Jansen JJ, et al. Defecography in patients with anorectal disorders. Which findings are clinically relevant?[J]. Dis Colon Rectum, 1990, 33(18): 277-284. [5]Matsuoka H, Wexner SD, Desai MB, et al. A comparison between dynamic pelvic magnetic resonance imaging and videoproctography in patients with constipation[J]. Dis Colon Rectum, 2001, 44(22): 571-576. [6]徐辰一,丁曙晴. 盆底超声对女性盆底功能障碍所致便秘的诊断价值[J]. 世界华人消化杂志，2012，20（30）：2931-2936. [7]Boccasanta P, Venturi M, Calabro G, et al. Stapled transanal rectal resection in solitary rectal ulcer associated with prolapse of the rectum: a prospective study[J]. Dis Colon Rectum, 2009, 51(14): 348-354. [8]Sloot CE, Meulen AJ, Felt-Bersma RJ. Rectocele repair improves evacuation and prolapse complaints independent of anorectal funtion and colonic transit time[J]. Int J Colorectal Dis, 2003, 18(7): 342-348. [9]丁曙晴. 盆底失弛缓综合征所致便秘的诊治难点和策略[J]. 临床外科杂志，2011，19（13）：220-222. [10]赵明宝，张书信，卢任华，等. 大肠肛门病学[M]. 上海：上海第二军医大学出版社，2004：132-133. [11]郭茂林. 盆底结构影像学研究进展[J]. 国外医学：临床放射学分册，2005，28（2）：83-87. [12]高春芳. 肛区和盆底解剖生理新概念及其临床意义[J]. 医学前沿，2010，39（8）：24-25. [13]Beer-Gabel M. Dynamic transperineal ultrasound and transvaginal sonography[M]//Wexneer SD, Pescatori M. Complex anorectal disorders: investigation and management. London: Spriner London pp, 2005: 246-262. [14]Zbar AP, Lienemann A, Fritsch H, et al. Rectocele: pathogenesis and surgical management[J]. Int J Colorect Dis, 2003, 18(14): 369-384. [15]Maglinte DD, Bartram C. Dynamic imaging of posterior compartment pelvic floor dysfunction by evacuation proctography: techniques, indications, results and limitations[J]. Eur J Radiol, 2000, 61(21): 454-461. [16]Ott DJ, Donati DL, Kerr RM, et al. Defecography: results in 55 patients and impact on clinical management[J]. Abdom Imaging, 2011, 19(8): 349-354.