盆腔器官脱落的表型 盆腔器官脱落的表型
Zoe Sayler1, Katie Weston2, Colin M Johnson1
1From the Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA.
盆腔器官脱落量化 (POP-Q) 阶段是不够的. 基于POP-Q测量结果的新落表型,更好地定义患者群体及其症状,以改善护理.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 盆地底疾病 盆地底疾病
- 女性的盆腔医学
背景情况:
- 骨盆器官脱落量化 (POP-Q) 阶段系统被广泛使用,但与患者的症状没有充分的相关性,也没有定义不同的脱落亚型.
- 需要一个更具临床相关性的分类系统来理解和管理骨盆器官脱落 (POP).
研究的目的:
- 通过POP-Q测量来定义临床上有意义的形"表型".
- 为了确定这些定义的表型的频率.
- 为了在已识别的表型中比较人口统计学,医学特征和症状概况.
主要方法:
- 根据使用POP-Q标准的前部,后部和上角部参与的8种不同的表型,回顾性分类501名经过形手术的患者.
- 使用线性和后勤回归模型,比较表型之间的人口统计学,医疗特征和骨盆地压力清单-20 (PFDI-20) 分数.
主要成果:
- 前面占主导地位和顶端 (AC) 现型是最常见的 (46.1%).
- 特定的表型 (例如,孤立的后部,后部-角) 与年轻的年龄,更高的BMI和不同的症状概况 (例如,结直肠-门困扰,肠) 有关.
- 孤立的顶部 (C类表型) 显示了较低的PFDI-20总体得分,而AC类表型作为参考,在APC组中没有显著的症状差异.
结论:
- 定义的形现象型提供了一个更细致的了解骨盆器官形超越传统的分期.
- 这些表型可能会改善临床沟通,患者咨询和治疗骨盆器官脱落的治疗策略.
- 需要进一步的研究来验证并将这些表型纳入临床实践.
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