产后直肠功能障碍与直肠完整性之间的关联:系统性审查
Adéla Samešová1,2,3, Rafaël Kiebooms1, Laura Cattani1,4
1Department Development and Regeneration, Cluster Urogenital, Abdominal and Plastic Surgery, KU Leuven, Leuven, Belgium.
International urogynecology journal
|January 17, 2025
概括
这项研究没有发现左侧肌肉 (LAM) 脱落和产后直肠功能障碍之间的联系. 出生似乎不会引起因LAM排泄而导致的失禁症状.
科学领域:
- 产科和妇科 产科和妇科
- 盆地底疾病 盆地底疾病
- 女性的盆腔医学
背景情况:
- 怀孕和分娩可以导致直肠功能障碍.
- 阴道分娩可能会影响盆底结构和功能.
- 起肌肉 (LAM) 脱落是分娩的潜在后果之一.
研究的目的:
- 系统地审查有关分娩后升高肌肉 (LAM) 脱发和直肠功能之间关系的文献.
- 为了研究LAM流产对产后骨盆底功能的影响.
主要方法:
- 在多个数据库 (PubMed,EMBASE等) 进行系统的文献搜索. ) 的情况.
- 包括在产后24个月内评估LAM解剖学 (成像) 和直肠功能 (问卷,测力) 的研究.
- 进行元分析和子组分析 (有/没有关节创伤),以汇集关于LAM外流和直肠功能的数据.
主要成果:
- 包括11项涉及2,146名女性的研究.
- 悬臂肌肉 (LAM) 脱落没有与失禁症状有统计学意义的关联 (OR 1.75 [0.74,4.12]).
- 这种缺乏关联在同时出现关节损伤的子组中持续存在 (OR 1.83 [0.71,4.71]).
结论:
- 在阴道分娩后,没有证据表明levator ani肌肉 (LAM) 脱落和直肠功能障碍之间存在关联.
- 产后直肠功能障碍根据当前的文献并没有直接与LAM排泄有关.
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