骨盤臓器の転落は,骨盤臓器の転落である
J Eric Jelovsek1, Christopher Maher, Matthew D Barber
1Department of Obstetrics and Gynecology A81, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA. jelovsj@ccf.org
Lancet (London, England)
|March 27, 2007
まとめ
骨盤臓器の転落は,女性の骨盤臓器の下降を伴うもので,しばしば出産や老化に関連しています. 多くの症例は無症状であるが,症状のある転落は観察,ペサリ,または手術によって管理することができる.
科学分野:
- 泌尿器科 泌尿器科とは
- 婦人科 婦人科について
- 骨盤の健康について
背景:
- 骨盤臓器の転落 (POP) は,膀,子宮,腸などの骨盤臓器の下向きの転移である.
- 主なリスク要因には,陰道出産,高齢化,体重指数増加などがあります.
- 出産,子宮切除,慢性的な疲労,老化,結合組織の異常は,レバター・アニ筋機能障害とPOPにつながる可能性があります.
研究 の 目的:
- 骨盤臓器の転落の包括的な概要を提供するために.
- POPに関連する多因子の病因とリスク要因について議論する.
- 症状のある骨盤臓器の転落の診断方法と管理戦略の概要を述べる.
主な方法:
- 骨盤臓器の転落に関する既存の文献のレビュー.
- ポップ・ポップ・ポップ・ポップの臨床表現と診断基準
- 外科的および非外科的治療オプションの分類.
主要な成果:
- POPは多因性であり,陰道出産や老化を含む重大なリスク要因があります.
- 症状はしばしば非特異的であり,最有意な兆候はの膨らみである.
- 症状のないPOPは治療を必要としませんが,症状のある症例は保守的または外科的に管理することができます.
結論:
- POPの効果的な予防戦略は限られているが,生活習慣の変更が役立つかもしれない.
- 管理は症状の重さに左右され,観察から手術による再建まで様々です.
- POPの予防と最適化された治療に関するさらなる研究が必要である.
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