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仙骨腟固定術は腟プロラプス手術と比較して便秘を増加させるか?

Lauren Simms1, Cynthia Hall2, Katherine Leung2

  • 1Prisma Health, University of South Carolina School of Medicine Greenville, Greenville, SC.

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PubMed
まとめ
この要約は機械生成です。

骨盤臓器脱患者では便秘が一般的である。仙骨腟固定術を含むプロラプス手術は、術後の便秘症状を有意に悪化させない。

キーワード:
骨盤臓器脱便秘仙骨腟固定術腟プロラプス手術術後合併症

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科学分野:

  • 婦人科泌尿器科学
  • 骨盤底障害
  • 手術成績

背景:

  • 便秘は骨盤臓器脱を経験する女性の間で頻繁な訴えである。
  • 患者ケアにとって、手術介入が大腸機能に及ぼす影響を理解することは極めて重要である。

研究 の 目的:

  • 腹部仙骨腟固定術と腟プロラプス手術後の術後便秘率を比較すること。
  • プロラプス修復が便秘患者評価(PAC-SYM)スコアに及ぼす影響を評価すること。

主な方法:

  • 尖端プロラプスの手術を受けた患者を対象とした前向きコホート研究。
  • 術前および術後6週および6ヶ月時点での便秘患者評価(PAC-SYM)アンケートを使用した。
  • 回帰分析を用いて、腹部(仙骨腟固定術)および腟手術群間のPAC-SYMスコアの変化を比較した。

主要な成果:

  • 術前の便秘の有病率は参加者の43%であった。
  • 術後6週および6ヶ月のいずれにおいても、両手術群ともにPAC-SYMスコアに有意な変化は観察されなかった。
  • 腹部群では、腟群と比較して術後6週時点で週あたりの排便回数の変化を報告した患者の割合が高かった。

結論:

  • 骨盤臓器脱手術は便秘症状の有意な悪化をもたらさない。
  • 仙骨腟固定術は、腟プロラプス手術と同様の便秘への影響を有すると思われる。
  • 便秘は、手術アプローチに関係なく、骨盤臓器脱を有する女性にとって一般的な問題であり続けている。