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阴道、膀胱及排粪造影(CCD)的目的是向临床医师提供女性盆腔器官和盆底完整的形态动力学研究.方法 CCD是Bethoux和Bory的阴道膀胱照相术的简化和改进,使之更接近于动力学.先于阴道内涂以钡剂,然后结合排尿膀胱造影和排粪造影,行静态和动态研究.[静态研究](1)膀胱:直立位,X线中心对着耻骨弓、膀胱底和尿道导尿管,分别摄取静息和用力摒气期间的侧位片.(2)直肠:病人坐于排粪椅上,分别摄取静息和肛管括约肌最大收缩时提肛期间的侧位片.[动态研究]拔出导尿管后,在排尿和排粪期间连续摄片(2帧/秒).在最大限度排空膀胱和直肠后,于再次用力排粪时摄片1张.病人 300例女性,平均年龄57岁(23～86).主诉有直肠症状者264例(88%),包括便秘180例,排粪困难91例,轻度腹泻81例,排便不尽78例,假便意46例,疼痛47例,手助排粪44例;有排尿症状者146例(49%),包括排尿费力100例,尿急56例,排尿困难16例,失禁10例;有妇科症状者42例(14%),包括子宫脱垂2例,部分性或完全性阴道脱垂40例.直肠的临床表现包括会阴下降10例和直肠前膨出90例.本研究不涉及直肠孤立性溃疡和肛管括约肌病变,因为它们既不影响盆腔结构也不影响盆底.
The purpose of the vagina, bladder and defecography (CCD) is to provide clinicians with complete morphokinetic studies of female pelvic organs and pelvic floor.Methods CCD was a simplification and improvement of the vaginal urography performed by Bethoux and Bory to bring it closer In the kinetics of the first in the vagina coated with barium, and then combined with voiding cystography and defecography, static and dynamic research [static research] (1) Bladder: upright position, the X-center against the pubic arch, bladder Bottom and urethral catheter, were taken during rest and forced gas side of the film (2) rectum: the patient sitting in the defecation chair, respectively, resting and anal anal sphincter constriction contraction side of the maximum during the period Continued radiography (2 frames / sec) during voiding and defecation after pulling out the catheter. After the bladder and rectum have been emptied to the maximum, 1 sheet will be taken during re-forced defecation .Female 300 women, mean age 57 years (23 to 86) .Feed of 264 patients (88%) complained of rectum symptoms, including 180 cases of constipation, defecation difficulty in 91 cases, 81 cases of mild diarrhea, defecation, , False means 46 cases, 47 cases of pain, hands-assisted defecation 44 cases; urinary symptoms 146 cases (49%), including 100 cases of urination effort, urinary urgency 56 cases, 16 cases of dysuria, 10 cases of incontinence, 42 cases (14%) with gynecological symptoms, including 2 cases of uterine prolapse and 40 cases of partial or complete vaginal prolapse.The clinical manifestations of rectum included 10 cases of decreased perineal and rectum Bulging 90. This study does not involve rectal solitary ulcer and anal sphincter lesions, because they neither affect the pelvic structure nor affect the pelvic floor.