Ahmed Amal A, Taha Omima Tharwat, Elprince Mohamed
Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Round Road, Ismailia, Egypt.
Eur J Obstet Gynecol Reprod Biol. 2020 Oct;253:21-24. doi: 10.1016/j.ejogrb.2020.07.029. Epub 2020 Jul 21.
To evaluate the severity of abdominal striae in women presenting with pelvic organ prolapse.
A cross sectional study conducted in the outpatient clinics of obstetrics and gynecology department, Suez Canal University hospitals. We recruited patients over a six months period from January 2019 to June 2019 presenting with symptomatic pelvic organ prolapse (96) and abdominal striae. A control group with no evidence of striae and presenting with symptomatic organ prolapse were recruited also. The degree of prolapse was evaluated using the pelvic organ prolapse quantification system. The evaluation of striae was done using the Davey's scale.
Mild, moderate and severe striae affected 20 (20.8 %), 34 (35.4 %), and 42 (43.8 %) women, respectively. Severe striae were noted in women with increased parity (5 ± 2.03). Apical prolapse was more prominent in women with severe striae [42 (100 %)]. Advanced grades of prolapse (grade 3 and 4) were noted in women with severe striae [25 (59.5 %) and 9 (21.5 %) respectively]. Using simple linear regression analysis, abdominal striae was considered a risk factor for the development of POP (P value <0.001); however, when combined with other risk factors in a multivariate model, it had no effect on the development of POP.
Women with severe abdominal striae were found to have advanced degrees of POP with the apical compartment affected obviously.
评估盆腔器官脱垂女性腹部妊娠纹的严重程度。
在苏伊士运河大学医院妇产科门诊进行的一项横断面研究。我们在2019年1月至2019年6月的六个月期间招募了有症状盆腔器官脱垂且有腹部妊娠纹的患者（96例）。还招募了无妊娠纹证据且有症状器官脱垂的对照组。使用盆腔器官脱垂量化系统评估脱垂程度。使用戴维量表对妊娠纹进行评估。
轻度、中度和重度妊娠纹分别影响20名（20.8%）、34名（35.4%）和42名（43.8%）女性。多产女性中重度妊娠纹更为常见（5±2.03）。重度妊娠纹女性中顶端脱垂更为突出[42例（100%）]。重度妊娠纹女性中观察到高级别脱垂（3级和4级）[分别为25例（59.5%）和9例（21.5%）]。使用简单线性回归分析，腹部妊娠纹被认为是盆腔器官脱垂发生的一个危险因素（P值<0.001）；然而，在多变量模型中将其与其他危险因素结合时，它对盆腔器官脱垂的发生没有影响。
发现有严重腹部妊娠纹的女性盆腔器官脱垂程度较高，顶端区域明显受累。
