Kousgaard Sabrina J, Bjørk Jonna, Glavind Karin
Department of Obstetrics and Gynecology, Aalborg University Hospital, Reberbansgade, 9000, Aalborg, Denmark.
Department of Obstetrics and Gynecology, Aalborg University Hospital, Reberbansgade, 9000, Aalborg, Denmark.
Eur J Obstet Gynecol Reprod Biol. 2017 Sep;216:208-211. doi: 10.1016/j.ejogrb.2017.08.004. Epub 2017 Aug 4.
The aim of this study was to describe patient-reported goals after an anterior colporrhaphy operation for anterior vaginal wall prolapse, the fulfilment of goals, and the correlation with subjective patient-reported outcomes.
A prospective study involving 100 women. Preoperatively, patients completed three modified questions from the International Consultation on Incontinence Questionnaire - Vaginal Symptoms (ICIQ-VS) named ICIQ-VS short form (ICIQ-VS SF) and stated three goals for the operation. A telephone interview was performed 3 months postoperatively.
A Visual Analogue Scale (VAS) score from one to 10 estimated the extent to which goals were achieved. Goals were divided into eight groups: 1: mechanical symptoms (bulging), 2: voiding symptoms, 3: quality of life (physical), 4: quality of life (emotional), 5: avoidance of urinary tract infection, 6: cure of incontinence, 7: sexual function and 8: others. ICIQ-VS SF preoperatively was mean 13.6 and postoperatively mean 1.7 (p<0.001). A total of 276 goals were stated, 63.4% of the goals were fulfilled with a VAS score of 10. The majority of the goals (27%) were in group 1 concerning symptoms of bulging. Mean VAS score for all goals was 8.6 (SD 2.5). Group 1 concerning mechanical symptoms of bulging had most goals fulfilled with a VAS of 10 (76%), and group 6 concerning cure of incontinence had fewest goals fulfilled with a VAS of 10 (31%). Forty patients (40%) fulfilled all their goals.
Patient-described goal achievement was high. The majority of the fulfilled goals concerned mechanical symptoms of bulging, and goals concerning incontinence were the least fulfilled.
本研究旨在描述经阴道前壁修补术治疗阴道前壁脱垂后患者报告的目标、目标的实现情况以及与患者报告的主观结果的相关性。
一项涉及100名女性的前瞻性研究。术前，患者完成了国际尿失禁咨询问卷-阴道症状（ICIQ-VS）中的三个修改问题，即ICIQ-VS简表（ICIQ-VS SF），并陈述了三个手术目标。术后3个月进行电话随访。
采用1至10分的视觉模拟量表（VAS）评分来评估目标实现的程度。目标分为八组：1：机械性症状（膨出），2：排尿症状，3：生活质量（身体方面），4：生活质量（情感方面），5：避免尿路感染，6：治愈尿失禁，7：性功能，8：其他。术前ICIQ-VS SF平均为13.6分，术后平均为1.7分（p<0.001）。共陈述了276个目标，63.4%的目标通过VAS评分为10分得以实现。大多数目标（27%）属于第1组，涉及膨出症状。所有目标的平均VAS评分为8.6（标准差2.5）。第1组关于膨出的机械性症状实现目标最多，VAS评分为10分的占76%，第6组关于治愈尿失禁的实现目标最少，VAS评分为10分的占31%。40名患者（40%）实现了所有目标。
患者描述的目标达成率较高。大多数实现的目标涉及膨出的机械性症状，而关于尿失禁的目标实现最少。
