伊朗盆腔器官脱垂女性的临床分期中盆腔器官脱垂定量和简化盆腔器官脱垂定量系统的比较。
Comparison of Pelvic Organ Prolapse Quantification and Simplified Pelvic Organ Prolapse Quantification Systems in Clinical Staging of Iranian Women with Pelvic Organ Prolapse.
机构信息
Professor, Department of Obstetrics & Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Assistant Professor, Department of Gynecology and Obstetrics, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
出版信息
Ethiop J Health Sci. 2020 Nov;30(6):921-928. doi: 10.4314/ejhs.v30i6.10.
BACKGROUND
Pelvic organ prolapse is a common pelvic disorder among women. A standard staging system is needed to carefully evaluate the extent and severity of the disease, and initiate appropriate treatment. The aim of this study was to compare the two methods of standard and simplified pelvic organ prolapse quantification systems in clinical staging of Iranian women with pelvic organ prolapse.
METHODS
This observational cross-sectional study was conducted on all women with complaints of seeing or feeling a vaginal lump or bulge and/or a dragging sensation who were presented to a pelvic floor disorders clinic of Imam Khomeini Hospital in Tehran, Iran, from October 2018 to June 2019. All patients were evaluated in terms of pelvic organ prolapse severity and staging using both instruments. Also, length of time needed to complete the questionnaires were calculated. After data collection, the results of pelvic organ prolapse staging and degree of agreement between two examiners were evaluated.
RESULTS
A total of 120 women with mean age of 50.92±13.12 years were evaluated. It was shown that there is an almost perfect agreement (kappa coefficient > 0.8) between standard and simplified pelvic organ prolapse quantification systems in all the 3 compartments. Also, there was almost a twofold increase in the time needed to perform standard pelvic organ prolapse quantification (4.16±1.01 minutes) compared to performing simplified pelvic organ prolapse quantification (2.12±1.14 minutes) (p=0.03).
CONCLUSION
According to the results of this study, there is a substantial and almost perfect agreement between standard and simplified pelvic organ prolapse quantification systems in clinical staging of Iranian women with pelvic organ prolapse. It seems that using simplified pelvic organ prolapse quantification system is more applicable in clinical practice for staging of pelvic organ prolapse, with high reliability coefficient.
背景
盆腔器官脱垂是女性常见的盆腔疾病。需要一个标准的分期系统来仔细评估疾病的程度和严重程度，并启动适当的治疗。本研究的目的是比较标准和简化盆腔器官脱垂定量系统在伊朗女性盆腔器官脱垂临床分期中的两种方法。
方法
本观察性横断面研究于 2018 年 10 月至 2019 年 6 月在伊朗德黑兰伊玛目霍梅尼医院的盆底疾病诊所对所有有阴道肿块或膨出或/和牵拉感的抱怨的女性进行。所有患者均采用两种仪器评估盆腔器官脱垂严重程度和分期。还计算了完成问卷所需的时间。收集数据后，评估了盆腔器官脱垂分期的结果和两位检查者之间的一致性。
结果
共 120 名平均年龄为 50.92±13.12 岁的女性进行了评估。结果显示，在所有 3 个部位，标准和简化盆腔器官脱垂定量系统之间存在几乎完美的一致性（kappa 系数>0.8）。此外，与执行简化盆腔器官脱垂定量（2.12±1.14 分钟）相比，执行标准盆腔器官脱垂定量（4.16±1.01 分钟）所需的时间几乎增加了一倍（p=0.03）。
结论
根据这项研究的结果，在伊朗女性盆腔器官脱垂的临床分期中，标准和简化盆腔器官脱垂定量系统之间存在实质性且几乎完美的一致性。似乎简化盆腔器官脱垂定量系统在临床实践中更适用于盆腔器官脱垂的分期，具有较高的可靠性系数。
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