盆腔脏器下降以及盆底功能紊乱症状

• 作 者: Ghetti C. Gregory W.T. Edwards S.R. 朱国栋
• 机 构: Division of Urogynecology and Reconstructive Pelvic Surgery Department of Obstetrics and Gynecology
• 出 处: 世界核心医学期刊文摘(妇产科学分册)
• 发表日期: 2005年11期
• 关键词: 盆腔脏器 盆底功能 盆腔脏器脱垂 症状 症状问卷 泌尿生殖系统 应激量表 垂前 妇产科学 横断面研究

Objective: This study evaluates the relationship between symptoms of pelvic floor disorders, and measurement of pelvic organ prolapse. Study design: This retrospective cross-sectional study assessed prolapse in 905 women in an academic urogynecologic practice using the Pelvic Organ Prolapse Quantification exam. Symptoms were assessed with a Likert symptom questionnaire and the Urogenital Distress Inventory. Relationships between symptoms and prolapse were analyzed using Spearman’ s correlation. Results: Symptoms of “ bulging” correlated moderately to the greatest extent of prolapse (r = 0.4, P <.001). Frequency of bother progressively increases when the leading edge descends from -3 and 0. Between ? 1 and ? 5, 90% of women report bother. Symptoms typically attributed to anterior or posterior wall prolapse did not correlate with descent of the respective compartment. Conclusion: “ Bulging” is the principle symptom that correlates with prolapse severity. We found no discrete anatomic position that discriminates between prolapse as a disease state and normal anatomic variation.

Objective: This study evaluates the relationship between symptoms of pelvic floor disorders, and measurement of pelvic organ prolapse. Study design: This retrospective cross-sectional study assessed prolapse in 905 women in an academic urogynecologic practice using the Pelvic Organ Prolapse Quantification exam. Symptoms were assessed with a Likert symptom questionnaire and the Urogenital Distress Inventory. Results: Symptoms of “bulging” correlated moderately to the greatest extent of prolapse (r = 0.4, P <.001) . Frequency of bother progressively increases when the leading edge descends from -3 and 0. 5? 90% of women report bother. Symptoms typically attributed to anterior or posterior wall prolapse did not correlate with descent of the respective compartment. Conclusion: “Bulging” is the principle symptom that correlates with prolapse severity. We found no discrete anat omic position that discriminates between prolapse as a disease state and normal anatomic variation.