Which factors determine subjective improvement following pelvic organ prolapse 1 year after surgery?
Which factors determine subjective improvement following pelvic organ prolapse 1 year after surgery?
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DOI：
10.1007/s00192-010-1321-z
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发表时间：
2011-05-01
影响因子：
1.8
通讯作者：
Vierhout, Mark E.
中科院分区：
文献类型：
--
作者：
Lawndy, Sameh S. S.;Kluivers, Kirsten B.;Vierhout, Mark E.
对影响盆腔器官脱垂（POP）术后1年患者主观改善的因素进行了研究，并根据术后1年患者对改善的总体印象（PGI-I）问卷评分将POP术后患者分为改善组和未改善组。解剖和功能结果作为影响因素进行评估，改善使用多变量logistic回归。三百八十六（386）名妇女被纳入研究，其中40（10%）没有主观改善。首次POP手术、生殖器脱垂和膀胱过度活动症的症状和困扰、前室解剖是与主观改善相关的独立因素。这些参数需要达到一个阈值，第一次手术往往与主观改善有关，解剖和功能结果都很重要。仅仅发现统计学上的显著改善并不能保证POP手术后的主观改善。
The factors influencing a patient's subjective improvement 1 year after pelvic organ prolapse (POP) surgery were studied.Women after POP surgery were divided into improved and non-improved group based on their score on the questionnaire Patient Global Impression of Improvement (PGI-I) 1 year after surgery. Anatomical and functional outcomes were assessed as influencing factors for improvement using multivariate logistic regression.Three hundred eighty-six (386) women were included in the study, of whom 40 (10%) had not subjectively improved. First POP operation, symptoms and bother of genital prolapse and overactive bladder, and anterior compartment anatomy were independent factors related to subjective improvement. A threshold needed to be reached in these parameters.The first operation was more often associated with subjective improvement, and both anatomical and functional outcomes were of importance. The mere finding of a statistical significant improvement was no guarantee for subjective improvement after POP surgery.