Babalola Ebenezer O, Bharucha Adil E, Melton L Joseph, Schleck Cathy D, Zinsmeister Alan R, Klingele Christopher J, Gebhart John B
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Sep;19(9):1243-50. doi: 10.1007/s00192-008-0613-z. Epub 2008 May 27.
To describe trends in the utilization of surgical procedures for pelvic organ prolapse among women in Olmsted County, MN, we retrospectively identified all county residents undergoing pelvic organ prolapse repair from January 1, 1965 through December 31, 2002. From 1965 to 2002, 3,813 women had pelvic organ prolapse surgeries: 3,126 had hysterectomy combined with pelvic floor repair (PFR) procedures and 687 had PFR alone. The age-adjusted utilization of hysterectomy plus PFR and of PFR alone decreased by 62% (P < 0.001) and 32% (P = 0.02), respectively. In both groups, utilization decreased in all age groups over time except in women aged 80 years and older undergoing hysterectomy plus PFR and women aged 70 years and older undergoing PFR only. The most common indication for PFR was uterovaginal prolapse. Among women in the community, the rate of utilization and age distribution of pelvic organ prolapse surgery changed substantially between 1965 and 2002.
为描述明尼苏达州奥尔姆斯特德县女性盆腔器官脱垂手术的使用趋势，我们回顾性确定了1965年1月1日至2002年12月31日期间所有接受盆腔器官脱垂修复手术的县居民。1965年至2002年，3813名女性接受了盆腔器官脱垂手术：3126名接受了子宫切除术联合盆底修复（PFR）手术，687名仅接受了PFR手术。子宫切除术加PFR和单纯PFR的年龄调整使用率分别下降了62%（P<0.001）和32%（P = 0.02）。在两组中，随着时间的推移，所有年龄组的使用率均下降，但80岁及以上接受子宫切除术加PFR的女性和70岁及以上仅接受PFR的女性除外。PFR最常见的指征是子宫阴道脱垂。1965年至2002年期间，社区女性盆腔器官脱垂手术的使用率和年龄分布发生了显著变化。
