紧急性是评估便失禁时的一个重要因素.
Louise Almkvist1, Ulf Gunnarsson2, Karin Strigård2
1Department of Diagnostics and Intervention, Surgery, Umeå University, SE-901 87, Umeå, Sweden. louise.almkvist@umu.se.
低前切除综合征 (LARS) 评分为评估便失禁 (FI) 的韦克斯纳评分提供了补充信息. 结合这两种分数,可以更全面地评估FI症状.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 胃肠病学 胃肠病学
- 临床结果评估评估.
背景情况:
- 便失禁 (FI) 的评估是复杂的,目前的工具,如韦克斯纳得分不能完全捕捉症状的严重程度或紧迫性.
- 低前切除综合征 (LARS) 评分越来越多地用于评估肠道功能障碍,特别是在直肠手术后.
研究的目的:
- 确定LARS评分是否为评估便失禁时的韦克斯纳评分提供了额外的补充信息.
- 为了测试LARS得分提高FI评估的假设,无论底层原因如何.
主要方法:
- 一项回顾性队列研究分析了119名被诊断患有FI的患者的数据,这些患者完成了LARS和Wexner分数问卷.
- 统计分析包括肯德尔的tau,斯皮尔曼等级相关性,科恩的卡帕,以及分散图来评估这两个分数之间的相关性和一致性.
主要成果:
- 相关性分析显示,LARS和Wexner分数之间只有相当或中等的一致性 (斯皮尔曼的rho:0.36-0.55) 和轻微或相当的一致性 (科恩的kappa:0.21-0.28).
- 分散图表显示了广泛的变化和分数之间缺乏强烈的一致性,这表明每个分数都捕获了不同的信息.
结论:
- 拉斯评分为韦克斯纳评分提供了补充数据,为便失禁提供了更完整的评估.
- 建议结合使用这两种评分系统,以全面了解FI及其对患者的影响.
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