阴道松与阴道平度和分娩方式有关吗?
Susana Mustafa-Mikhail1,2, Moshe Gillor3,4, Yara Nakhleh Francis5
1Sydney Medical School Nepean, University of Sydney, Sydney, NSW, Australia. Mustafa.susana@gmail.com.
International urogynecology journal
|July 13, 2024
概括
阴道松在阴道分娩的女性中更为常见,第一个分娩是主要的贡献者. 与正常的阴道分娩相比,仪器分娩似乎不会增加这种风险.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 盆地底疾病 盆地底疾病
- 女性生殖健康 妇女生殖健康
背景情况:
- 阴道松 (VL) 是盆地功能障碍的常见症状.
- 目前尚不完全了解VL的发病因子.
- 在过去的十年中,对VL的研究增加了.
研究的目的:
- 调查阴道平度和分娩方式与阴道松之间的关联.
- 为了确定分娩是否影响阴道松的患病率或严重程度.
主要方法:
- 对1,051名患有盆地功能障碍症状的妇女进行了回顾性观察性研究.
- 标准化采访,POP-Q检查和4D骨盆地超声波 (PFUS).
- 从4D-PFUS档案卷中对Valsalva的升降器缺口区域进行分析.
主要成果:
- 23%的女性报告了阴道松,这些女性年轻,更年期不太可能出现更年期.
- VL与更大的升降器下垂体区域和更常见的脱落症状有关.
- 阴道平价与VL有关,第一个分娩是一个重要的因素. 阴道分娩的女性报告VL的可能性是剖腹产的女性的三倍.
结论:
- 阴道松在有阴道分娩史的女性中更为普遍.
- 第一次阴道分娩似乎是导致阴道松的主要原因.
- 与正常的阴道分娩相比,仪器分娩没有显示出与阴道松的相关性.
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