[在盆腔器官脱垂分期临床实践中应用简化的盆腔器官脱垂定量分期系统：与标准盆腔器官脱垂定量分期系统的比较分析]
[Utilize the simplified POP-Q system in the clinical practice of staging for pelvic organ prolapse: comparative analysis with standard POP-Q system].
作者信息
Zhang H, Zhu L, Xu T, Lang J H
机构信息
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
出版信息
Zhonghua Fu Chan Ke Za Zhi. 2016 Jul 25;51(7):510-4. doi: 10.3760/cma.j.issn.0529-567X.2016.07.006.
OBJECTIVE
To determine the association between simplified pelvic organ prolapse quantification system(S-POP-Q)and the standard pelvic organ prolapse quantification system(POP-Q)in describing pelvic organ prolapse.
METHODS
This was an observational study. From Jan. 2010 to Jan. 2014, 256 subjects with pelvic floor disorder symptoms underwent two exams: a POP-Q exam and a S-POP-Q exam. For the S-POP-Q system, vaginal segments of the exam were defined using points Ba, Bp, C, and D. For the POP-Q system vaginal segments of the exam were defined using points Aa, Ba, Ap, Bp, C, and D. The inter-system consistency between the overall ordinal stages, the anterior vaginal wall stages, the posterior vaginal wall stages, the cervix stages, the posterior fornix or vaginal cuff stages from each two kind of exam were compared.
RESULTS
The Kendall tau-b correlation coefficient for overall stage was 0.81, the Kendall tau-b correlation coefficients were 0.81, 0.81, 0.85, 0.88 for the anterior vaginal wall, for the posterior vaginal wall, for the cervix, for the posterior fornix or vaginal cuff, respectively.
CONCLUSION
There is almost perfect association between S-POP-Q and POP-Q in describing pelvic organ prolapse.
目的
确定简化盆腔器官脱垂量化系统（S-POP-Q）与标准盆腔器官脱垂量化系统（POP-Q）在描述盆腔器官脱垂方面的相关性。
方法
这是一项观察性研究。2010年1月至2014年1月，256名有盆底功能障碍症状的受试者接受了两项检查：POP-Q检查和S-POP-Q检查。对于S-POP-Q系统，检查的阴道节段使用Ba、Bp、C和D点来定义。对于POP-Q系统，检查的阴道节段使用Aa、Ba、Ap、Bp、C和D点来定义。比较两种检查中总体序数阶段、阴道前壁阶段、阴道后壁阶段、宫颈阶段、后穹窿或阴道袖口阶段的系统间一致性。
结果
总体阶段的肯德尔tau-b相关系数为0.81，阴道前壁、阴道后壁、宫颈、后穹窿或阴道袖口的肯德尔tau-b相关系数分别为0.81、0.81、0.85、0.88。
结论
S-POP-Q与POP-Q在描述盆腔器官脱垂方面几乎具有完美的相关性。
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