美国女性盆底功能障碍的门诊治疗方法。
Ambulatory procedures for female pelvic floor disorders in the United States.
机构信息
Section of Urogynecology, Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA.
出版信息
Am J Obstet Gynecol. 2010 Nov;203(5):497.e1-5. doi: 10.1016/j.ajog.2010.06.055. Epub 2010 Aug 24.
OBJECTIVE
The aim of this study was to estimate the number of women undergoing ambulatory surgical procedures for female pelvic floor disorders (PFDs) in the United States and to compare age-adjusted ambulatory surgical case rates between 1996 and 2006.
STUDY DESIGN
We analyzed data from the 1996 and 2006 National Survey of Ambulatory Surgery, a federal public access de-identified database. Procedures for PFDs were identified using International Classification of Diseases-9th revision Clinical Modification procedure codes for urinary incontinence, fecal incontinence, and pelvic organ prolapse.
RESULTS
The number of women undergoing ambulatory surgical procedures for urinary incontinence increased from 34,968 (95% confidence interval, 25,583-44,353) in 1996 to 105,656 (95% confidence interval, 79,033-132,279) in 2006. The age-adjusted ambulatory surgical case rates for all PFDs increased from 7.91 per 10,000 in 1996 to 12.10 per 10,000 in 2006 (P = .0006).
CONCLUSION
Ambulatory procedures for urinary incontinence increased between 1996 and 2006, as well as the age-adjusted ambulatory case rate for all PFDs.
目的
本研究旨在估计美国女性盆底功能障碍（PFD）行门诊手术的女性人数，并比较 1996 年至 2006 年之间经年龄调整的门诊手术病例率。
研究设计
我们分析了 1996 年和 2006 年全国门诊手术调查的数据库，这是一个联邦公共访问匿名数据库。PFD 的手术是通过国际疾病分类第 9 修订版临床修正程序代码来识别的，用于尿失禁、粪便失禁和盆腔器官脱垂。
结果
1996 年，因尿失禁而行门诊手术的女性人数从 34968 例（95%置信区间，25583-44353）增加到 2006 年的 105656 例（95%置信区间，79033-132279）。所有 PFD 的经年龄调整的门诊手术病例率从 1996 年的每 10000 人 7.91 例增加到 2006 年的每 10000 人 12.10 例（P =.0006）。
结论
1996 年至 2006 年间，尿失禁的门诊手术数量增加，所有 PFD 的经年龄调整的门诊手术病例率也增加。
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