下尿道症状在子宫肌瘤:一个系统的审查和元分析
1Department of Urology, China Medical University Hospital, Taichung 404327, Taiwan.
Medicina (Kaunas, Lithuania)
|May 28, 2025
概括
几乎一半的患有子宫肌瘤 (UM) 的女性会出现下尿路症状 (LUTS) 或尿失禁 (UI). 这一系统性审查强调了需要在UM患者护理中解决这些常见的尿道问题.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 公共卫生 公共卫生
背景情况:
- 下尿路症状 (LUTS) 在子宫肌瘤 (UM) 患者中很常见,但缺乏系统的评估.
- 子宫肌瘤显著影响妇女的健康,经常与尿路功能障碍同时发生.
研究的目的:
- 系统地审查和分析LUTS的患病率和UM患者的几率比率.
- 综合目前关于UM与各种下泌尿道症状之间的关联的证据.
主要方法:
- 在PubMed和Embase的系统文献搜索 (2000-2023) 遵循PRISMA和MOOSE的指导方针.
- 对LUTS的综合流行率和几率比率的元分析,包括储存症状,排泄症状和尿失禁亚型.
- 亚组分析和元回归以探索与患者人口统计学和研究特征的关联.
主要成果:
- 包括20项研究,显示在UM患者中LUTs的综合流行率为49%,具有相当大的异质性.
- 具体症状的发病率在15%至54%之间;压力 (SUI) 和紧急尿失禁 (UUI) 与UM有显著的关联.
- 脑膜大小和子宫切除术与LUTS或过度活性膀症状改善没有显著联系.
结论:
- 大约50%的子宫肌瘤患者患有下尿路症状或尿失禁.
- 尿路症状是UM中显著的并发症,需要综合管理策略.
- 需要进一步的研究来解决异质性问题,并研究UM患者LUTS的治疗结果.
关键词:
这些都是纤维化胚胎.切除子宫术 (hysterectomy) 是一种切除子宫的方法.较低的尿路症状 (LUTS)骨盆地功能障碍 骨盆地功能障碍系统审查和元分析.尿失禁是尿失禁的原因之一.子宫肌瘤是什么子宫肌瘤更多相关视频
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