会阴下降与患者的肛门直肠功能障碍、盆腔器官脱垂及尿失禁症状。
Perineal descent and patients' symptoms of anorectal dysfunction, pelvic organ prolapse, and urinary incontinence.
作者信息
Broekhuis Suzan R, Hendriks Jan C M, Fütterer Jurgen J, Vierhout Mark E, Barentsz Jelle O, Kluivers Kirsten B
机构信息
791 Department of Obstetrics and Gynecology, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands.
出版信息
Int Urogynecol J. 2010 Jun;21(6):721-9. doi: 10.1007/s00192-010-1099-z. Epub 2010 Feb 5.
INTRODUCTION AND HYPOTHESIS
The aim of this dynamic magnetic resonance (MR) imaging study was to assess the relation between the position and mobility of the perineum and patients' symptoms of pelvic floor dysfunction.
METHODS
Patients' symptoms were measured with the use of validated questionnaires. Univariate logistic regression analyses were used to study the relationship between the questionnaires domain scores and the perineal position on dynamic MR imaging, as well as baseline characteristics (age, body mass index, and parity).
RESULTS
Sixty-nine women were included in the analysis. Only the domain score genital prolapse was associated with the perineal position on dynamic MR imaging. This association was strongest at rest.
CONCLUSIONS
Pelvic organ prolapse symptoms were associated with the degree of descent of the perineum on dynamic MR imaging. Perineal descent was not related to anorectal and/or urinary incontinence symptoms.
引言与假设
本动态磁共振成像研究的目的是评估会阴部位置与活动度和患者盆底功能障碍症状之间的关系。
方法
使用经过验证的问卷对患者症状进行测量。采用单因素逻辑回归分析来研究问卷领域得分与动态磁共振成像上会阴部位置之间的关系，以及基线特征（年龄、体重指数和产次）。
结果
69名女性纳入分析。在动态磁共振成像上，仅生殖器脱垂领域得分与会阴部位置相关。这种关联在静息时最为明显。
结论
在动态磁共振成像上，盆腔器官脱垂症状与会阴部下降程度相关。会阴部下降与肛门直肠和/或尿失禁症状无关。
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