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Updated: May 23, 2025

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
延长的第二阶段的劳动和产后盆地底功能障碍
Andrea Marcheti Silveira1, Glaucia Miranda Varella Pereira1, Elaine Christine Dantas Moises2
1From the Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, Campinas, SP, Brazil.
这次审查发现,关于延长第二阶段分娩是否与骨盆底功能障碍有关,有不同的证据. 需要更多的研究来证实长期分娩与盆地问题之间的任何关联.
科学领域:
- 产科和妇科 产科和妇科
- 盆地底疾病 盆地底疾病
- 妇女健康 妇女健康
背景情况:
- 平价和分娩方式是已知的骨盆底功能障碍的风险因素.
- 延长的第二阶段分娩 (PSSL) 可能有助于这些问题,但证据没有汇总.
- PSSL和盆地功能障碍之间的关联需要进一步调查.
研究的目的:
- 对骨盆底功能障碍症状与延长的第二阶段分娩 (PSSL) 之间的关联进行系统审查.
主要方法:
- 在2024年7月和12月进行了多个数据库 (PubMed,Cochrane,Embase,SCOPUS,Web of Science,LILACS) 的系统搜索.
- 包括专注于PSSL妇女的研究,并分析了盆地功能障碍症状.
- 罗宾斯I尺度评估了观察性研究中的偏差风险.
主要成果:
- 从92篇分析的文章中选择了6项研究;由于异质性,元分析是不可行的.
- 三项研究没有发现PSSL和盆地功能障碍之间的关联,而两项研究表明与尿失禁有关.
- 一项研究表明部分关联,所有研究都有中等偏差风险.
结论:
- 证据是相互矛盾的,一半的研究显示没有关联,另一半表明PSSL和盆地功能障碍之间存在联系.
- 需要进一步进行高质量的队列研究,将PSSL作为主要结果.
- 澄清延长劳动和骨盆底问题之间的关系对于临床实践至关重要.
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