阴道修复术后脱垂复发的危险因素。
Risk factors for prolapse recurrence after vaginal repair.
作者信息
Whiteside James L, Weber Anne M, Meyn Leslie A, Walters Mark D
机构信息
Department of Obstetrics and Gynecology, The Cleveland Clinic Foundation, Cleveland, Ohio, USA.
出版信息
Am J Obstet Gynecol. 2004 Nov;191(5):1533-8. doi: 10.1016/j.ajog.2004.06.109.
OBJECTIVE
The purpose of this study was to determine factors that are associated with recurrent prolapse.
STUDY DESIGN
Of 389 women who underwent vaginal prolapse and incontinence between June 1996 and May 1999, 176 women had 1-year follow-up evaluations. Recurrent prolapse was analyzed by both pelvic organ prolapse quantification stage and centimeter measurements that were relative to the hymen. Logistic regression was used to determine odds ratios and 95% CI for factors that were associated with recurrent prolapse.
RESULTS
One year after surgery, 102 women (58%) had recurrent prolapse (>/=stage II). Seventeen women (10%) had prolapse >/=1 cm beyond the hymen. Age <60 years (odds ratio, 3.2; 95% CI, 1.6-6.4; P = .001) and preoperative pelvic organ prolapse quantification stage III or IV (odds ratio, 2.7; 95% CI, 1.3-5.3; P = .005) were associated with a greater likelihood of recurrent prolapse (>/=stage II) at 1 year.
CONCLUSION
Younger women and women with more advanced prolapse are more likely to experience recurrent prolapse after vaginal repair.
目的
本研究旨在确定与复发脱垂相关的因素。
研究设计
在1996年6月至1999年5月期间接受阴道脱垂和尿失禁治疗的389名女性中，176名女性进行了为期1年的随访评估。通过盆腔器官脱垂定量分期和相对于处女膜的厘米测量来分析复发脱垂情况。采用逻辑回归确定与复发脱垂相关因素的比值比和95%可信区间。
结果
术后1年，102名女性（58%）出现复发脱垂（≥Ⅱ期）。17名女性（10%）的脱垂超过处女膜1厘米以上。年龄<60岁（比值比，3.2；95%可信区间，1.6 - 6.4；P = 0.001）和术前盆腔器官脱垂定量分期为Ⅲ期或Ⅳ期（比值比，2.7；95%可信区间，1.3 - 5.3；P =
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