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提升器缺陷和盆地功能障碍1年产后:一个前性嵌套病例控制研究

Markus Harry Jansson^1,2, Sophia Brismar Wendel^1,3, Emilia Rotstein^4,5

¹Department of Clinical Sciences, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden.

BJOG : an international journal of obstetrics and gynaecology

|December 3, 2024

概括

阴道分娩后的左侧阴道缺陷 (LAD) 与分娩后的盆地问题有关,如尿失禁和阴道松. 即使是轻微的LAD也会增加这些常见但具有影响力的疾病的风险.

科学领域:

产科和妇科产科和妇科
盆地底疾病盆地底疾病
产后康复产后康复

背景情况:

盆地功能障碍是一种常见的产后并发症.
升降器缺陷 (LAD) 是这些问题的潜在原因之一.
了解LAD和特定症状之间的关联对于有针对性的干预至关重要.

研究的目的:

为了确定是否升降器缺陷 (LAD) 与骨盆底功能障碍有关,产后一年.
为了确定与骨盆底功能障碍风险增加相关的LAD的特定切断值得分.

主要方法:

一个嵌套的病例控制研究是在阴道分娩后一年进行的,这项研究是对初生产妇进行的.
三维内阴道超声波评估了和肌肉的完整性,产生了LAD分数.
经过验证的问卷确定了盆地功能障碍的症状;后勤回归分析了关联.

主要成果:

较高的LAD得分与尿失禁 (aOR 1.11) 和阴道松 (aOR 1.14) 的风险增加显著相关.
尿失禁风险在LAD分数≥1点时增加,而阴道松风险在LAD分数≥8点时增加.
在有症状和无症状妇女之间没有观察到0的LAD得分的显著差异.

结论:

管缺陷 (LAD) 已被证明与产后一年的尿失禁和阴道松有关.
尿失禁的风险甚至在轻微的LAD中也会升级,可能是由于影响尿道中支的缺陷.
这些发现凸显了评估产后妇女患有骨盆底功能障碍的LAD的重要性.

关键词:

一个LAD得分的得分.升降器是一种排泄.升降器和肌肉的肌肉骨盆地功能障碍骨盆地功能障碍超声波超声波是指超声波的使用.阴道分娩阴道分娩阴道分娩

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