盆腔器官脱垂女性的排便症状与盆腔痛有关吗？
Is pelvic pain associated with defecatory symptoms in women with pelvic organ prolapse?
机构信息
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania 19104, USA.
出版信息
Neurourol Urodyn. 2011 Sep;30(7):1305-8. doi: 10.1002/nau.21059. Epub 2011 Mar 10.
OBJECTIVE
To investigate the significance of pelvic pain and its association with defecatory symptoms in women with pelvic organ prolapse (POP).
STUDY DESIGN
This is a cross sectional study of 248 women with stage II POP or greater. Women were stratified into "pain" and "no-pain" groups based on their response to a question on the Pelvic Floor Distress Inventory short form. Associations between patient demographics, exam findings and responses to validated questionnaires were evaluated.
RESULTS
In women with POP, defecatory symptoms are significantly more common in women with pelvic pain including straining with bowel movement (OR 2.4, 95% CI 1.3, 4.6), sense of incomplete emptying (OR 4.4, 95% CI 2.3, 8.2), pain with bowel movement (OR 5.3, 95% CI 1.2, 23.0) and splinting with bowel movement (OR 3.8, 95% CI 2.0, 7.5).
CONCLUSION
In women with POP, the symptom of pelvic pain is associated with the presence of defecatory symptoms.
目的
探讨盆腔疼痛及其与盆腔器官脱垂（POP）女性排便症状的关系的意义。
研究设计
这是一项 248 例 II 期或更严重 POP 女性的横断面研究。根据盆腔器官脱垂/尿失禁性功能问卷简表的回答，将女性分为“疼痛”和“无痛”组。评估患者人口统计学、检查结果和对经过验证的问卷的反应之间的关联。
结果
在患有 POP 的女性中，盆腔疼痛的女性排便症状明显更常见，包括排便时用力（OR 2.4，95%CI 1.3，4.6）、感觉排空不完全（OR 4.4，95%CI 2.3，8.2）、排便时疼痛（OR 5.3，95%CI 1.2，23.0）和排便时支撑（OR 3.8，95%CI 2.0，7.5）。
结论
在患有 POP 的女性中，盆腔疼痛的症状与排便症状的存在相关。
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