Kjølhede Preben, Wahlström Johan, Wingren Gun
Division of Obstetrics and Gynecology, Faculty of Health Sciences, University Hospital, 581-85 Linköping, Sweden.
Acta Obstet Gynecol Scand. 2005 Sep;84(9):894-901. doi: 10.1111/j.0001-6349.2005.00753.x.
To evaluate the occurrence of voiding dysfunction and symptoms of genital prolapse at long-term follow-up after Burch colposuspension (Bc) in relation to the occurrence of the symptoms in an age-matched normal population.
A follow-up study of the 190 patients who underwent Bc in 1980-88 and 305 age-matched control women randomly selected from the general population. The participants answered a questionnaire in 1998 with detailed questions about the pelvic floor function. Univariate and multivariate analyses were performed.
The prevalence and frequency of urinary incontinence were significantly higher in the patient group compared with those in the control group as were urge incontinence, difficulty to start voiding, time needed at the toilet for voiding, the need to return to the toilet for emptying the bladder, feeling of incomplete emptying of the bladder, and limitation of social life because of the leakage. The symptoms of genital prolapse were significantly more common in the patient group in spite of a significantly larger proportion of genital prolapse surgery in this group. Parity, high body mass index, heavy lifting work, chronic pulmonary diseases, hiatus hernias, and hysterectomy were significantly more common in the patient group than among the controls.
At long-term follow-up, patients exhibit substantial symptoms of pelvic floor dysfunction (PFD) concerning voiding dysfunction and symptoms of genital prolapse compared with a normal population. This highlights the importance and need of treating pelvic floor disorders in a comprehensive way. Scientific works with comprehensive studies of PFD are needed.
评估在Burch阴道悬吊术（Bc）后长期随访中排尿功能障碍和生殖器脱垂症状的发生情况，并与年龄匹配的正常人群中的症状发生情况进行比较。
对1980 - 1988年接受Bc手术的190例患者以及从普通人群中随机选取的305例年龄匹配的对照女性进行随访研究。参与者在1998年回答了一份关于盆底功能的详细问卷。进行了单因素和多因素分析。
与对照组相比，患者组中尿失禁的患病率和发生率显著更高，急迫性尿失禁、排尿起始困难、排尿所需时间、排尿后需返回厕所排空膀胱、膀胱排空不全的感觉以及因漏尿导致的社交生活受限等情况也是如此。尽管患者组中进行生殖器脱垂手术的比例显著更高，但生殖器脱垂症状在该组中仍显著更为常见。患者组中经产史、高体重指数、重体力劳动、慢性肺部疾病、食管裂孔疝和子宫切除术的发生率显著高于对照组。
在长期随访中，与正常人群相比，患者表现出与排尿功能障碍和生殖器脱垂症状相关的大量盆底功能障碍（PFD）症状。这凸显了全面治疗盆底疾病的重要性和必要性。需要开展对PFD进行全面研究的科学工作。
