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年龄较小与患有尿路症状的女性的盆地肌肉功能障碍有关
Katia A DaSilva1, Do H Lee1, Emma K Sterling1
1From the George Washington University School of Medicine & Health Sciences, Washington, DC.
Urogynecology (Philadelphia, Pa.)
|October 18, 2024
概括
年轻女性患有下泌尿道症状 (LUTS) 更有可能患有盆地肌肉功能障碍 (PFMD). 这种状况的特征是肌痛/,在40岁以下的女性中更为普遍,这表明需要有针对性的评估.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 盆地底部疾病 盆地底部疾病
- 肌肉骨健康 肌肉骨健康
背景情况:
- 骨盆地肌肌功能障碍在患有骨盆地障碍的女性中越来越多地被认可.
- 了解盆地肌肉功能障碍 (PFMD) 的人口学关联对于诊断和管理至关重要.
研究的目的:
- 调查年轻年龄与盆地肌肉功能障碍 (PFMD) 之间的关联,在患有下泌尿道症状 (LUTS) 的女性中.
- 评估年龄和特定的LUTS之间的关系,包括尿急,频率,夜尿和尿失禁.
主要方法:
- 一项回顾性队列研究分析了2018年8月至2022年2月期间寻求泌尿内科评估尿道症状的妇女的数据.
- 盆地肌肉功能障碍 (PFMD) 被定义为一个诊断的肌痛/.
- 使用多变量逻辑回归来评估年龄和PFMD之间的关联.
主要成果:
- 在421名患有LUTS的女性中,115名 (27.3%) 患有PFMD. 这些女性年轻 (平均13年差异),不太可能报告 incontinence.
- 患有PFMD的女性报告患有更高的失尿症,失精症,vulvodynia和盆腔疼痛.
- 在40岁以下的女性中,PFMD的调整后几率比为2.34,与40岁及以上的女性相比.
结论:
- 年轻女性呈现下游泌尿道症状的骨盆底肌肉功能障碍的可能性显著更高.
- 年龄是一个独立的因素,与患有LUTS的女性的骨盆底肌肉功能障碍有关.
- 研究结果表明,在患有LUTS的年轻女性中,即使没有失禁,也应该考虑盆地肌肉功能障碍.
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