使用子宫托对脱垂症状、生活质量和身体形象的影响。
Impact of pessary use on prolapse symptoms, quality of life, and body image.
机构信息
Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford Hospital, University of Connecticut School of Medicine, Hartford, CT, USA.
出版信息
Am J Obstet Gynecol. 2010 May;202(5):499.e1-4. doi: 10.1016/j.ajog.2010.01.019. Epub 2010 Feb 20.
OBJECTIVE
We sought to evaluate whether use of a vaginal pessary would change body image, bother symptoms, and quality of life in women with pelvic organ prolapse.
STUDY DESIGN
Women presenting for pessary insertion completed the short forms of Pelvic Floor Distress Inventory-20, Pelvic Floor Impact Questionnaire, and Body Image Scale. After successful pessary insertion and use for at least 3 months, subjects completed the surveys again. Scores were compared with a paired t test.
RESULTS
A total of 75 subjects were enrolled and follow-up responses were available for 54 subjects for analysis. Body Image Scale scores showed a significant decrease (6.1-3.4; P<.001), indicating an improvement in these women's perception of themselves, as did Pelvic Floor Distress Inventory-20 scores (81.34-45.83; P<.001) and Pelvic Floor Impact Questionnaire scores (50.32-17.98; P=.003).
CONCLUSION
The use of a pessary for 3 months reduces bother symptoms and improves both quality of life and perception of body image in women.
目的
我们旨在评估阴道子宫托的使用是否会改变盆腔器官脱垂女性的身体形象、困扰症状和生活质量。
研究设计
就诊于行子宫托置入术的女性患者完成了阴部盆底窘迫量表-20 项简短版、阴部盆底功能影响问卷和身体形象量表的评估。成功置入子宫托并使用至少 3 个月后，患者再次完成上述调查。采用配对 t 检验比较评分。
结果
共纳入 75 例患者，54 例患者完成了随访应答分析。身体形象量表评分显著下降（6.1-3.4；P<.001），表明这些女性对自身的认知有所改善，阴部盆底窘迫量表-20 评分（81.34-45.83；P<.001）和阴部盆底功能影响问卷评分（50.32-17.98；P=.003）也显著下降。
结论
使用子宫托 3 个月可减轻困扰症状，并改善女性的生活质量和身体形象认知。
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