在三度和四度围破伤后的盆地功能:对生活质量的病例控制研究
Andrea Sartore1, Maria Sole Scalia2,3, Francesco Paolo Mangino1
1Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", 34137, Trieste, Italy.
BMC women's health
|January 3, 2024
概括
经历产科关节损伤 (OASI) 的妇女报告生活质量显著降低和持续的骨盆底功能障碍,特别是肠道症状,分娩后12个月. 在PFDI-20调查有效地确定了这些问题在初婚妇女.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 产科 产科 产科 产科 产科
- 盆地底疾病 盆地底疾病
背景情况:
- 产科关节损伤 (OASI) 是发生在阴道分娩期间的严重围撕裂.
- OASI可能导致显著的短期和长期孕产妇死亡率,影响生活质量.
- 盆地功能障碍是OASI的常见后果.
研究的目的:
- 为了比较患有OASI的妇女的生活质量与在第一次阴道分娩后有完整的腹膜或轻微撕裂的妇女.
- 为了确定特定的骨盆底功能障碍症状后阴道分娩在女性和没有OASI.
主要方法:
- 一项队列研究比较了133名患有OASI (III-IV度眼) 的女性和133名对照女性 (完好或I-II度眼).
- 在产后3个月和12个月使用了骨盆地底痛苦清单 (PFDI-20) 问卷.
- PFDI-20评估了骨盆器官脱落,结肠直肠门和尿路困扰症状.
主要成果:
- 在OASI病例和对照之间观察到生活质量和骨盆底功能障碍的统计学上显著差异.
- PFDI-20显示,在12个月后,严重的撕裂 (III-IV度) 和持续的骨盆底功能障碍之间存在强烈的相关性.
- 在患有OASI的女性中,肠道症状是最常见的疾病.
结论:
- 主要的阴道撕裂显著影响女性的产后12个月的生活质量.
- PFDI-20是诊断和监测骨盆底功能障碍的有效工具,包括初发性妇女患有OASI的倒和失禁.
- PFDI-20的临床应用可以指导受影响妇女的适当康复治疗.
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