II期或更严重的后壁脱垂与令人困扰的梗阻性肠道症状之间的关联
The Association Between Stage II or Greater Posterior Prolapse and Bothersome Obstructive Bowel Symptoms.
作者信息
Erekson Elisabeth A, Kassis Nadine C, Washington Blair B, Myers Deborah L
机构信息
From the *Section of Urogynecology and Reconstructive Pelvic Surgery, Yale University School of Medicine, New Haven, CT; and †Division of Urogynecology and Reconstructive Pelvic Surgery Women and Infants' Hospital of Rhode Island, Alpert Medical School of Brown University, Providence, RI.
出版信息
Female Pelvic Med Reconstr Surg. 2010 Jan;16(1):59-64. doi: 10.1097/SPV.0b013e3181ce958a.
OBJECTIVE
: The primary objective of this study was to estimate the association between stage II or greater posterior prolapse and individual obstructive bowel symptoms.
METHODS
: We conducted a cross-sectional study of all women presenting for initial visit at a tertiary center for pelvic floor disorders. Exposure was defined as stage II or greater posterior vaginal prolapse as measured by pelvic organ prolapse quantification measurements. Outcomes included the separate bothersome obstructive bowel symptoms of splinting, straining, or incomplete bowel emptying.
RESULTS
: Our study included 721 women. Univariate analysis did not show an association between stage II or greater posterior prolapse and the bothersome symptoms of straining or incomplete emptying. Stage II or greater posterior prolapse was associated with bothersome splinting (adjusted OR, 1.63; 95% CI, 1.06-2.53).
CONCLUSIONS
: Stage II or greater posterior prolapse was associated with the bothersome symptom of splinting, but not bothersome straining or the sensation of incomplete evacuation.
目的
本研究的主要目的是评估Ⅱ期或更严重的后壁脱垂与个体梗阻性肠道症状之间的关联。
方法
我们对在一家三级盆底功能障碍中心初诊的所有女性进行了一项横断面研究。暴露定义为通过盆腔器官脱垂定量测量法测得的Ⅱ期或更严重的阴道后壁脱垂。结局包括单独出现的令人烦恼的梗阻性肠道症状，如屏气、用力排便或排便不尽。
结果
我们的研究纳入了721名女性。单因素分析未显示Ⅱ期或更严重的后壁脱垂与用力排便或排便不尽等令人烦恼的症状之间存在关联。Ⅱ期或更严重的后壁脱垂与令人烦恼的屏气症状相关（校正比值比，1.63；95%置信区间，1.06 - 2.53）。
结论
Ⅱ期或更严重的后壁脱垂与令人烦恼的屏气症状相关，但与令人烦恼的用力排便或排便不尽感无关。
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