子宫切除术和骨盆底疾病之间的关联:系统性审查和元分析
Olivia H Chang1, Ian J Saldanha2, Diana Encalada-Soto3
1Center for Pelvic Floor Disorders Research, Division of Female urology and voiding dysfunction, Department of Urology, University of California, Irvine, CA.
American journal of obstetrics and gynecology
|March 22, 2025
概括
子宫切除术增加了10年内尿失禁的风险,以及盆腔器官缩和超过10年的压力尿失禁. 在接受手术之前讨论这些风险和替代方案.
科学领域:
- 妇科 妇科 妇科 妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 盆腔健康 盆腔健康
背景情况:
- 子宫切除术是美国女性常见的一种手术手术.
- 子宫切除术和骨盆底疾病之间的关系尚未得到充分证实.
研究的目的:
- 系统地审查关于子宫切除术与患盆底疾病的风险之间的联系的科学文献.
主要方法:
- 对Medline和Embase数据库进行了全面的系统搜索.
- 包括的研究包括随机对照试验和非随机对照研究,并进行调整分析.
- 用随机效应模型进行了元分析,根据子宫切除术后的时间对结果进行了分层.
主要成果:
- 子宫切除术与10年内所有类型尿失禁的可能性更高有关.
- 在10年以后,子宫切除术与盆腔器官脱落和压力尿失禁的风险增加有关.
结论:
- 切除子宫显著增加了尿失禁,骨盆器官脱落和压力尿失禁的风险.
- 根据知情同意的讨论应该包括这些潜在风险和替代治疗选择.
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