Sartore Andrea, Pregazzi Roberto, Bortoli Paolo, Grimaldi Eva, Ricci Giuseppe, Guaschino Secondo
Department of Obstetrics and Gynecology, Epidemiology Unit, University of Trieste, Istituto di Ricovero e Cura a Carattere Scientifico, Burlo Garofolo, Via dell'Istria 65/1-34137, Trieste, Italy.
J Reprod Med. 2003 Mar;48(3):171-4.
To evaluate the efficacy of different tests in identifying pelvic floor dysfunction after vaginal delivery.
One hundred ninety-seven primiparae were investigated 2 months after vaginal delivery. They underwent pelvic floor muscle assessment by digital test, vaginal manometry and uroflowmetric stop test. Puerperae were divided into continent and incontinent subpopulations. Variables were subjected to Student's t test and Fisher's exact test to verify the difference between the subpopulations. Kappa values were used to correlate the tests.
Perineal performance in incontinent primiparae was weaker in all the tests; only the urine stream interruption test score showed significantly different values (P = .0026), but it did not correlate with the other two tests.
A simple, objective, noninvasive and low-cost technique, such as the urine stream interruption test, is useful in assessing pelvic floor performance after vaginal delivery but reflects urethrovesical support function rather than pelvic muscle function in toto.
评估不同检查方法在识别阴道分娩后盆底功能障碍方面的疗效。
对197例初产妇在阴道分娩后2个月进行调查。她们接受了指诊、阴道压力测定和尿流中断试验以评估盆底肌肉功能。产妇被分为控尿和尿失禁亚组。对变量进行Student's t检验和Fisher精确检验以验证亚组间的差异。使用Kappa值来关联各项检查。
在所有检查中，尿失禁初产妇的会阴表现均较差；只有尿流中断试验评分显示出显著差异（P = .0026），但它与其他两项检查无相关性。
一种简单、客观、无创且低成本的技术，如尿流中断试验，在评估阴道分娩后的盆底功能方面是有用的，但它反映的是尿道膀胱支持功能，而非整体的盆底肌肉功能。
