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女性运动员的盆底功能障碍

Pelvic Floor Dysfunction in the Female Athlete.

作者信息

Louis-Charles Kaina, Biggie Kristin, Wolfinbarger Ainsly, Wilcox Becky, Kienstra Carolyn M

机构信息

Sports Medicine Institute, University of Miami, Coral Gables, FL.

Department of Pediatrics and Sports Medicine Institute, University of Miami School of Medicine, Miami, FL.

出版信息

Curr Sports Med Rep. 2019 Feb;18(2):49-52. doi: 10.1249/JSR.0000000000000563.

Abstract

Pelvic floor dysfunction (PFD) is a term used to describe a variety of disorders involving moderate to severe impairment of the pelvic floor muscles. It can be divided into two broad categories. Relaxing PFD is more common, presenting with urinary incontinence, fecal incontinence, or pelvic organ prolapse. Nonrelaxing PFD symptoms include impaired ability to evacuate urine or stool, sexual dysfunction, and pelvic pain. Unfamiliarity with this diagnosis among medical providers along with nonspecific symptoms often lead to a delayed or missed diagnosis for patients. Here, we present the case of a collegiate soccer player with PFD to illustrate the severity of presentation and progression of this disorder. We review the current literature regarding nonrelaxing PFD and all types of PFD in female athletes to raise awareness and recognition of this condition.

摘要

盆底功能障碍(PFD)是一个用于描述各种涉及盆底肌肉中度至重度损伤的病症的术语。它可分为两大类。松弛型盆底功能障碍更为常见,表现为尿失禁、大便失禁或盆腔器官脱垂。非松弛型盆底功能障碍的症状包括排尿或排便能力受损、性功能障碍和盆腔疼痛。医疗服务提供者对这种诊断不熟悉以及症状不具特异性,常常导致患者诊断延迟或漏诊。在此,我们介绍一名患有盆底功能障碍的大学足球运动员的病例,以说明这种病症的表现严重程度和进展情况。我们回顾了有关女性运动员非松弛型盆底功能障碍及所有类型盆底功能障碍的当前文献,以提高对这种病症的认识和识别能力。

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