骨盆出口大小作为大便失禁的潜在危险因素：一项基于人群的探索性分析。
Size of Pelvic Outlet as a Potential Risk Factor of Fecal Incontinence: A Population-Based Exploratory Analysis.
作者信息
Hiramoto Brent, Falahee Bryn E, Muftah Mayssan, Flanagan Ryan, Shah Eric D, Chan Walter W
机构信息
Division of Gastroenterology, Hepatology and Endoscopy, Center for Gastrointestinal Motility, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
出版信息
Clin Transl Gastroenterol. 2025 Jan 1;16(1):e00789. doi: 10.14309/ctg.0000000000000789.
INTRODUCTION
The impact of pelvic bone structure on fecal incontinence (FI) is unclear. We assessed the association between weight-adjusted pelvic area and FI.
METHODS
This was a population-based analysis of the National Health and Nutrition Examination Survey in 2005-2006. Participants who completed the bowel health survey and dual-energy x-ray absorptiometry were included.
RESULTS
On multivariable analysis of 2,772 participants, the lowest pelvic area quartile predicted increased FI compared with the third (odds ratio [OR]: 2.05, confidence interval [CI]: 1.18-3.56, P = 0.014) and fourth (OR: 1.94, CI: 1.02-3.70, P = 0.045) quartiles. Sex-stratified analyses found similar association among female patients only.
DISCUSSION
Small pelvic area on dual-energy x-ray absorptiometry is a potential risk factor of FI.
引言
骨盆骨结构对大便失禁（FI）的影响尚不清楚。我们评估了体重调整后的骨盆面积与FI之间的关联。
方法
这是一项基于2005 - 2006年美国国家健康与营养检查调查的人群分析。纳入了完成肠道健康调查和双能X线吸收测定法的参与者。
结果
在对2772名参与者进行多变量分析时，与第三四分位数（优势比[OR]：2.05，置信区间[CI]：1.18 - 3.56，P = 0.014）和第四四分位数（OR：1.94，CI：1.02 - 3.70，P = 0.045）相比，最低骨盆面积四分位数预示着FI增加。按性别分层分析仅在女性患者中发现了类似的关联。
讨论
双能X线吸收测定法显示的小骨盆面积是FI的一个潜在危险因素。
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