gnckКолопроктологияKoloproktologia2073-75562686-7303Russian Association of Coloproctology10.33878/2073-7556-2020-19-1-117-130gnck-1543Research ArticleОБЗОР ЛИТЕРАТУРЫ, МЕТАНАЛИЗREVIEWМАГНИТНО-РЕЗОНАНСНАЯ ДЕФЕКОГРАФИЯ ПРИ СИНДРОМЕ ОПУЩЕНИЯ ПРОМЕЖНОСТИ (обзор литературы)MRI DEFECOGRAPHY IN PELVIC FLOOR DESCENT SYNDROME (review)ГончароваЕ. П.GoncharovaE. P.

Гончарова Елена Петровна

ул. Саляма Адиля, д. 2, Москва, 123423

Moscow

goncharovaelenapetrovna@gmail.comЗароднюкИ. В.ZarodnyukI. V.

Москва

Moscow

ФГБУ «НМИЦ колопроктологии имени А.Н. Рыжих» Минздрава РоссииРоссияRyzhikh National Medical Research Centre for Coloproctology of the Ministry of Health of RussiaRussian Federation202021032020191117130Copyright © Гончарова Е.П., Зароднюк И.В., 20202020Гончарова Е.П., Зароднюк И.В.Goncharova E.P., Zarodnyuk I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ruproctology.com/jour/article/view/1543

Синдром опущения промежности является актуальной проблемой, затрагивающей в большей степени повторнородящих женщин и женщин в постменопаузе. По данным эпидемиологических исследований, в постменопаузе более 50% женщин страдают от тяжелых симптомов тазового пролапса, которые значительно снижают качество жизни. Высокая распространенность пролапса органов малого таза увеличивает потребность в комплексной диагностике и лечении. Тазовое дно представляет собой уникальную анатомическую и функциональную структуру, расстройство которой приводит к целому ряду статических и функциональных нарушений. Для их диагностики применяются различные методы медицинской визуализации (рентгенологическая дефекография, УЗИ, МР дефекография). МР-дефекография позволяет детально визуализировать все три отдела таза, включая мягкие ткани и связочно-мышечный аппарат; оценивать структурные и функциональные тазовые нарушения в рамках одного исследования. Однако требуется уточнение границ нормальных показателей подвижности тазовых органов при МР дефекографии. Остается открытым вопрос об алгоритме применения МР дефекографии и рентгенологической дефекографии при пролапсе органов малого таза.

Pelvic floor descent syndrome (PFDS) affects multiparous and postmenopausal women. According to epidemiological studies in postmenopausal women, more than 50% suffer from severe symptoms of PFDS, which significantly reduce the quality of life. The high prevalence of pelvic floor pathology increases the need for multimodal diagnosis and treatment. The pelvic floor is a unique anatomical and functional structure and malfunction of this system may lead to many different static and functional disorders. There are a lot of methods of medical imaging modalities for PFDS (X-ray defecography, perineal ultrasound, MR defecography). MRI defecography allows to visualize in detail all three parts of the pelvis, including soft tissues and supporting structures; to evaluate structural and functional pelvic abnormalities in a single study. The range of normal mobility of the pelvic floor and pelvic organs on MRI defecography is still required.

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The authors declare that there are no conflicts of interest present.