Dua Anupreet, Radley Stephen, Brown Steven, Jha Swati, Jones Georgina
Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Glossop Road, Sheffield, S10 2SF, UK.
Int Urogynecol J. 2012 Jun;23(6):749-53. doi: 10.1007/s00192-011-1603-0. Epub 2011 Nov 24.
The objective of this study is to determine the effect of posterior colporrhaphy on bowel symptoms.
Comprehensive pelvic floor data were collected prospectively for 60 women undergoing posterior colporrhaphy. The electronic Personal Assessment Questionnaire-Pelvic Floor (ePAQ-PF) was completed at initial assessment and 3-6 months post-operatively. The bowel dimension of ePAQ-PF computes domain scores for IBS, constipation, evacuation, continence and QoL on a scale of 0-100. Preoperative bowel domain scores were compared with post-operative scores (Student t test).
Significant improvement was seen in bowel evacuation (42%), continence (37%) and bowel-related QoL (61%) scores. IBS score improved by 28%, but this did not reach significance. There was no significant change noted in constipation (0.5%). All individual symptoms relating to bowel evacuation and continence improved significantly other than painful evacuation and incontinence to solid stool.
Bowel evacuation and continence improve significantly 3-6 months following posterior colporrhaphy and are associated with parallel improvement in QoL.
本研究的目的是确定后穹窿修补术对肠道症状的影响。
前瞻性收集了60例行后穹窿修补术女性的综合盆底数据。在初次评估时及术后3 - 6个月完成电子个人评估问卷 - 盆底（ePAQ - PF）。ePAQ - PF的肠道维度计算肠易激综合征（IBS）、便秘、排空、控便和生活质量的领域得分，范围为0 - 100分。将术前肠道领域得分与术后得分进行比较（学生t检验）。
肠道排空（42%）、控便（37%）和肠道相关生活质量（61%）得分有显著改善。IBS得分提高了28%，但未达到显著水平。便秘方面无显著变化（0.5%）。除了排便疼痛和固体粪便失禁外，所有与肠道排空和控便相关的个体症状均有显著改善。
后穹窿修补术后3 - 6个月，肠道排空和控便能力显著改善，且与生活质量的平行改善相关。
