Ghetti Chiara, Gregory W Thomas, Edwards S Renee, Otto Lesley N, Clark Amanda L
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, USA.
Am J Obstet Gynecol. 2005 Jul;193(1):53-7. doi: 10.1016/j.ajog.2004.12.004.
This study evaluates the relationship between symptoms of pelvic floor disorders, and measurement of pelvic organ prolapse.
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.
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.
"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.
本研究评估盆底功能障碍症状与盆腔器官脱垂测量之间的关系。
这项回顾性横断面研究使用盆腔器官脱垂定量检查，对905名在学术性泌尿妇科诊所就诊的女性的脱垂情况进行了评估。使用李克特症状问卷和泌尿生殖系统困扰量表对症状进行评估。使用斯皮尔曼相关性分析症状与脱垂之间的关系。
“膨出”症状与脱垂的最大程度呈中度相关（r = 0.4，P <.001）。当脱垂前沿从-3降至0时，困扰频率逐渐增加。在+1至+5之间，90%的女性报告有困扰。通常归因于前壁或后壁脱垂的症状与相应腔室的下降无关。
“膨出”是与脱垂严重程度相关的主要症状。我们未发现能区分脱垂作为一种疾病状态与正常解剖变异的离散解剖位置。
