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埃勒斯-当洛综合征中的盆腔器官脱垂

Pelvic Organ Prolapse in Ehlers-Danlos Syndrome.

作者信息

Nazemi Azadeh, Shapiro Katherine, Nagpal Shavy, Rosenblum Nirit, Brucker Benjamin M

机构信息

Department of Urology, New York University Grossman School of Medicine New York, NY, USA.

出版信息

Case Rep Urol. 2023 Feb 23;2023:6863711. doi: 10.1155/2023/6863711. eCollection 2023.

DOI:10.1155/2023/6863711
PMID:36875296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9981282/
Abstract

Ehlers-Danlos syndrome (EDS) is a hereditary tissue and collagen synthesis disorder that can predispose patients to gynecologic and obstetric complications. Female patients often suffer from bothersome pelvic floor disorders, but due to the medical complexity of EDS, special considerations are needed for the treatment of pelvic organ prolapse and associated incontinence. In this paper, we present three unique cases of pelvic organ prolapse (POP) in EDS patients and delve deeper into the multidisciplinary approach involving urogynecology, rheumatology, physiatry, gastroenterology, and anesthesiology required to appropriately manage this condition.

摘要

埃勒斯-当洛综合征（EDS）是一种遗传性组织和胶原蛋白合成障碍疾病，可使患者易患妇科和产科并发症。女性患者常患有令人困扰的盆底功能障碍，但由于EDS的医学复杂性，在治疗盆腔器官脱垂及相关尿失禁时需要特殊考虑。在本文中，我们介绍了3例EDS患者发生盆腔器官脱垂（POP）的独特病例，并深入探讨了为妥善处理这种情况所需的涉及泌尿妇科、风湿病学、物理医学与康复、胃肠病学和麻醉学的多学科方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4053/9981282/c4702a6b3394/CRIU2023-6863711.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4053/9981282/97683c658725/CRIU2023-6863711.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4053/9981282/d72148c74528/CRIU2023-6863711.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4053/9981282/c4702a6b3394/CRIU2023-6863711.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4053/9981282/97683c658725/CRIU2023-6863711.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4053/9981282/d72148c74528/CRIU2023-6863711.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4053/9981282/c4702a6b3394/CRIU2023-6863711.003.jpg

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本文引用的文献

1
Pelvic floor symptoms in cisgender women with Ehlers-Danlos syndrome: an international survey study.顺性别女性中埃勒斯-当洛斯综合征的盆底症状：一项国际调查研究。
Int Urogynecol J. 2023 Feb;34(2):473-483. doi: 10.1007/s00192-022-05273-8. Epub 2022 Jun 25.
2
Obstetrics and gynecology in Ehlers-Danlos syndrome: A brief review and update.埃勒斯-当洛综合征中的妇产科学：简要综述与更新
Am J Med Genet C Semin Med Genet. 2021 Dec;187(4):593-598. doi: 10.1002/ajmg.c.31945. Epub 2021 Nov 12.
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Perioperative outcomes following pelvic floor reconstruction in women with hereditary disorders of connective tissue: a retrospective cohort study.
结缔组织遗传性疾病女性行盆底重建术后的围手术期结局：一项回顾性队列研究。
Int Urogynecol J. 2021 Aug;32(8):2135-2142. doi: 10.1007/s00192-021-04893-w. Epub 2021 Jul 2.
4
Physical therapy treatment of hypermobile Ehlers-Danlos syndrome: A systematic review.易位型埃勒斯-当洛斯综合征的物理治疗：系统综述。
Am J Med Genet A. 2021 Oct;185(10):2986-2994. doi: 10.1002/ajmg.a.62393. Epub 2021 Jun 19.
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Practical management strategies for benign hypermobility syndromes.良性易发性运动障碍综合征的实用管理策略。
Curr Opin Rheumatol. 2021 May 1;33(3):249-254. doi: 10.1097/BOR.0000000000000798.
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Pelvic Girdle Pain, Hypermobility Spectrum Disorder and Hypermobility-Type Ehlers-Danlos Syndrome: A Narrative Literature Review.骨盆带疼痛、关节过度活动谱障碍和关节过度活动型埃勒斯-当洛综合征：一篇叙述性文献综述
J Clin Med. 2020 Dec 9;9(12):3992. doi: 10.3390/jcm9123992.
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Treatment of the wide open wound in the Ehlers-Danlos syndrome.埃勒斯-当洛综合征中开放性伤口的治疗。
Arch Craniofac Surg. 2019 Apr;20(2):130-133. doi: 10.7181/acfs.2018.02334. Epub 2019 Apr 20.
8
Anesthetic Management for Ehlers-Danlos Syndrome, Hypermobility Type Complicated by Local Anesthetic Allergy: A Case Report.合并局部麻醉过敏的高活动型埃勒斯-当洛综合征的麻醉管理：一例报告
Am J Case Rep. 2019 Jan 10;20:39-42. doi: 10.12659/AJCR.912799.
9
The evidence-based rationale for physical therapy treatment of children, adolescents, and adults diagnosed with joint hypermobility syndrome/hypermobile Ehlers Danlos syndrome.针对被诊断患有关节过度活动综合征/高活动型埃勒斯-当洛综合征的儿童、青少年和成人进行物理治疗的循证依据。
Am J Med Genet C Semin Med Genet. 2017 Mar;175(1):158-167. doi: 10.1002/ajmg.c.31545.
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Anesthetic Management of a Patient With Ehlers-Danlos Syndrome.一名患有埃勒斯-丹洛斯综合征患者的麻醉管理
Anesth Prog. 2016 Winter;63(4):204-207. doi: 10.2344/16-00003.1.