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间质性膀胱炎患者盆底功能障碍的患病率

Prevalence of pelvic floor dysfunction in patients with interstitial cystitis.

作者信息

Peters Kenneth M, Carrico Donna J, Kalinowski Scott E, Ibrahim Ibrahim A, Diokno Ananias C

机构信息

Ministrelli Program for Urology Research and Education, Department of Urology, William Beaumont Hospital, Royal Oak, Michigan 48073, USA.

出版信息

Urology. 2007 Jul;70(1):16-8. doi: 10.1016/j.urology.2007.02.067.

DOI:10.1016/j.urology.2007.02.067
PMID:17656199
Abstract

OBJECTIVES

To evaluate the prevalence of pelvic floor dysfunction in women with interstitial cystitis (IC).

METHODS

Women with IC and pelvic pain were referred to the Beaumont Women's Initiative for Pelvic Pain and Sexual Health program. A comprehensive patient history and pelvic examination were completed by a certified women's health nurse practitioner.

RESULTS

Seventy women with a mean age of 45 years were evaluated. Of these 70 women 87% had levator pain consistent with pelvic floor dysfunction. The mean levator pain score was 4.48 out of 10. Nearly two thirds of these women (64%) had their pain for 5 years or more, whereas one quarter (24%) had their pain for 1 to 3 years. Half of the women reported irritable bowel syndrome, and more than one third (36%) reported urge urinary incontinence.

CONCLUSIONS

Women with IC may have pelvic floor dysfunction, as noted in this population in which 87% had levator pain upon examination. If pelvic floor dysfunction is diagnosed in IC patients, then therapy targeting the pelvic floor musculature may be considered as part of a multimodality approach to treating IC.

摘要

目的

评估间质性膀胱炎(IC)女性患者盆底功能障碍的患病率。

方法

患有IC和盆腔疼痛的女性被转诊至博蒙特女性盆腔疼痛与性健康倡议项目。由一名获得认证的女性健康执业护士完成全面的患者病史采集和盆腔检查。

结果

对70名平均年龄为45岁的女性进行了评估。在这70名女性中,87%存在与盆底功能障碍相符的提肌疼痛。提肌疼痛平均评分为4.48分(满分10分)。这些女性中近三分之二(64%)的疼痛持续了5年或更长时间,而四分之一(24%)的疼痛持续了1至3年。一半的女性报告有肠易激综合征,超过三分之一(36%)报告有急迫性尿失禁。

结论

IC女性患者可能存在盆底功能障碍,在该人群中87%的患者检查时存在提肌疼痛。如果在IC患者中诊断出盆底功能障碍,那么针对盆底肌肉组织的治疗可被视为治疗IC的多模式方法的一部分。

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