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本文引用的文献

1
The effect of prolapse surgery on vaginal sensibility.脱垂手术对阴道敏感性的影响。
J Sex Med. 2011 Apr;8(4):1239-45. doi: 10.1111/j.1743-6109.2010.02175.x. Epub 2011 Jan 14.
2
Which factors determine subjective improvement following pelvic organ prolapse 1 year after surgery?哪些因素决定了盆腔器官脱垂术后1年的主观改善情况？
Int Urogynecol J. 2011 May;22(5):543-9. doi: 10.1007/s00192-010-1321-z. Epub 2010 Nov 23.
3
"Inside-out" transobturator tension-free vaginal tape for management of occult stress urinary incontinence in women undergoing pelvic organ prolapse repair.经闭孔无张力阴道吊带术治疗盆腔器官脱垂修补术后隐匿性压力性尿失禁
Urology. 2010 Dec;76(6):1358-61. doi: 10.1016/j.urology.2010.04.070. Epub 2010 Oct 25.
4
A longitudinal study of patient and surgeon goal achievement 2 years after surgery following pelvic floor dysfunction surgery.盆腔功能障碍手术后 2 年的患者和外科医生目标达成的纵向研究。
BJOG. 2010 Nov;117(12):1504-11. doi: 10.1111/j.1471-0528.2010.02705.x.
5
Can sex survive pelvic floor surgery?盆底手术后性生活还能正常吗？
Int Urogynecol J. 2010 Nov;21(11):1313-9. doi: 10.1007/s00192-010-1198-x. Epub 2010 Jun 25.
6
Effects of guided imagery on postoperative outcomes in patients undergoing same-day surgical procedures: a randomized, single-blind study.引导式意象对同日手术患者术后结局的影响：一项随机单盲研究。
AANA J. 2010 Jun;78(3):181-8.
7
One-year outcome of concurrent anterior and posterior transvaginal mesh surgery for treatment of advanced urogenital prolapse: case series.同期经阴道前路和后路网片手术治疗中重度女性泌尿生殖系统脱垂的 1 年疗效：病例系列。
J Minim Invasive Gynecol. 2010 Jul-Aug;17(4):473-9. doi: 10.1016/j.jmig.2010.03.003. Epub 2010 May 23.
8
Defining success after surgery for pelvic organ prolapse.定义盆腔器官脱垂手术后的成功标准。
Obstet Gynecol. 2009 Sep;114(3):600-609. doi: 10.1097/AOG.0b013e3181b2b1ae.
9
Factors predictive of outcome in tension-free vaginal tape procedure for urinary stress incontinence in a teaching hospital.教学医院中无张力阴道吊带术治疗压力性尿失禁预后的预测因素
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jul;20(7):775-80. doi: 10.1007/s00192-009-0851-8. Epub 2009 Mar 10.
10
Patient-centered treatment goals for pelvic floor disorders: association with quality-of-life and patient satisfaction.盆底功能障碍以患者为中心的治疗目标：与生活质量和患者满意度的关联
Am J Obstet Gynecol. 2009 May;200(5):568.e1-6. doi: 10.1016/j.ajog.2008.11.020. Epub 2009 Feb 23.

在希望与恐惧之间：盆腔器官脱垂手术前患者的期望

Between hope and fear: patient's expectations prior to pelvic organ prolapse surgery.

作者信息

Lawndy Sameh S S, Withagen Mariella I, Kluivers Kirsten B, Vierhout Mark E

机构信息

791 Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, the Netherlands.

出版信息

Int Urogynecol J. 2011 Sep;22(9):1159-63. doi: 10.1007/s00192-011-1448-6. Epub 2011 May 21.

DOI:10.1007/s00192-011-1448-6
PMID:21604059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3162144/
Abstract

INTRODUCTION AND HYPOTHESIS

The aim of our study was to analyse the patient's expectations (fears and goals (hopes)) in women who are scheduled for pelvic organ prolapse (POP) surgery.

METHODS

All consecutive women awaiting surgery for POP in a tertiary urogynaecological centre were included. A short questionnaire with two open questions on goals and fears with regard to the operation was used.

RESULTS

Ninety-six out of 111 distributed questionnaires (86%) were analysed. Goals and fears were categorized into five groups. De novo symptoms (63%), POP recurrence (34%) and surgical complications (29%) were the most important fears. Symptom release (96%), improved lifestyle (physical capabilities; 30%) and improved sexual life (18%) were important goals.

CONCLUSIONS

A wide variety of expectations both positive and negative can be found in women before POP surgery and should be an integral part of preoperative counselling. Achieving the individual goals as based on expectations, positive (goals) and negative (fears), should be part of the POP surgery evaluation.

摘要

引言与假设

我们研究的目的是分析计划接受盆腔器官脱垂（POP）手术的女性患者的期望（恐惧和目标（希望））。

方法

纳入在一家三级泌尿妇科中心等待接受POP手术的所有连续女性患者。使用了一份简短问卷，其中包含两个关于手术目标和恐惧的开放性问题。

结果

分析了111份分发问卷中的96份（86%）。目标和恐惧被分为五组。新发症状（63%）、POP复发（34%）和手术并发症（29%）是最重要的恐惧因素。症状缓解（96%）、生活方式改善（身体能力；30%）和性生活改善（18%）是重要目标。

结论

在POP手术前，女性患者存在各种各样的积极和消极期望，这些期望应成为术前咨询的一个组成部分。基于期望（积极的（目标）和消极的（恐惧））实现个体目标，应成为POP手术评估的一部分。