Troiano L, Pregazzi R, Pirrone F, Licitra L, Mazza S, Guaschino S
Istituto Scientifico Burlo Garofolo, Università degli Studi, Trieste.
Minerva Ginecol. 1998 Jul-Aug;50(7-8):297-300.
Vaginal delivery may cause injury to the perineum even when it progresses normally. In the light of this, some authors have suggested that other factors besides obstetric trauma may be implicated in the pathogenesis of genito-urinary prolapse, such as maternal constitution, race, connective tissue characteristics, etc. The aim of this study was to investigate the role of mechanical factors in causing perineal injury.
We examined the clinical data of 250 women who underwent, 20 days after delivery, a clinical examination consisting of a semeiological study of micturition and a functional evaluation of the pelvic floor.
Outlet dystocia seems to be associated with the higher prevalence of anteriormedian prolapse and seem to play an important role in the pathogenesis of post-partum pelvic floor deficiency.
If valid prognostic indexes for the selection of patients at risk are found, it will be possible to carry out an effective prevention of pelvic floor damage and also to avoid an indiscriminante and unjustified increase of laparotomic deliveries.
即使顺产过程正常，也可能导致会阴部损伤。鉴于此，一些作者认为，除产科创伤外，其他因素可能也与泌尿生殖器官脱垂的发病机制有关，如产妇体质、种族、结缔组织特征等。本研究的目的是调查机械因素在导致会阴部损伤中的作用。
我们检查了250名女性产后20天的临床资料，这些资料包括排尿症状学研究和盆底功能评估的临床检查。
出口难产似乎与前中位脱垂的较高患病率相关，并且似乎在产后盆底功能缺陷的发病机制中起重要作用。
如果能找到有效的风险患者选择预后指标，就有可能有效预防盆底损伤，也能避免剖宫产率的不合理增加。
