女人现在想要什么!
Geetika S Shah1, Christian Phillips1
1Basingstoke and North Hampshire Hospital, NHS Foundation Trust, Aldermaston Road, RG24 9NA, United Kingdom.
概括
患有严重骨盆底功能障碍 (PFD) 的女性更喜欢手术,而患有轻度/中度症状的女性更喜欢更安全的非手术选择. 患者的选择平衡症状严重程度与治疗风险和恢复时间.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 妇女健康 妇女健康
- 盆地底疾病 盆地底疾病
背景情况:
- 压力尿失禁 (SUI) 和骨盆器官脱落 (POP) 是女性普遍存在的疾病.
- 对于盆底功能障碍 (PFD) 存在各种保守和手术治疗方法.
研究的目的:
- 调查患者对未来PFD治疗的偏好,特别是POP和SUI.
- 确定可接受的成功率以及症状严重程度如何影响治疗选择.
主要方法:
- 一项服务评估研究,涉及100名参加泌尿后科诊所的妇女.
- 参与者填写了一份问卷,将高成功率的手术 (80%的治愈,1-2天停留,风险小) 与可变成功率的非手术选择 (70-25%的改善,没有停机时间,没有安全问题) 相比较.
主要成果:
- 所有患有严重PFD的女性都选择了手术.
- 轻度/中度症状的女性更喜欢非手术治疗,成功率较低,但没有长期并发症.
- 在症状严重程度和预期的治疗成功之间发现了中等相关性 (r=0.46).
结论:
- 患者的需求正在转向优先考虑安全性和快速恢复的治疗方法,而不是最大限度的疗效.
- 基于能源的设备等新兴技术可能会吸引一些女性,因为它们的安全性,尽管成功率较低.
- 对这些较新的治疗方式进行进一步的研究是有必要的.
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