Pelvic-floor muscle function in women with pelvic organ prolapse
Pelvic-floor muscle function in women with pelvic organ prolapse
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DOI：
10.2522/ptj.20060160
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发表时间：
2007-04-01
期刊：
影响因子：
3.2
通讯作者：
Weber, Anne M.
中科院分区：
文献类型：
--
作者：
Borello-France, Diane F.;Handa, Victoria L.;Weber, Anne M.
背景和目的本研究的目的是确定在计划接受手术的女性中，盆腔器官脱垂的严重程度、盆腔症状、生活质量和性功能是否因盆底肌肉功能而有所不同。受试者年龄为61.6+/-10.2((X)BAR+/--SD以上)。13%的受试者有II期(至处女膜)盆腔器官脱垂，68%的受试者有III期(超越处女膜)脱垂，19%的受试者有IV期(完全性阴道外翻)脱垂。Brink评分最低(3~6)和最高(10~12)的受试者在脱垂严重程度、盆腔症状和困扰、生活质量和性功能方面进行比较。结果Brink评分最高的受试者(n=75)与Brink评分最低的受试者(n=56)相比，脱垂程度较轻，生殖器裂孔测量较小，泌尿症状负担较轻。结果表明，盆底肌肉功能与特定条件下的生活质量或性功能无关。讨论和结论尽管盆底肌肉功能的临床意义不大，但盆底肌肉功能的改善与较轻的脱垂和尿路症状有关。
Background and PurposeThe purpose of this study was to determine whether pelvic organ prolapse severity, pelvic symptoms, quality of life, and sexual function differ based on pelvic-floor muscle function in women planning to have prolapse surgery.Subjects and MethodsThree hundred seventeen women without urinary stress incontinence who were enrolled in a multicenter surgical trial were examined to determine pelvic-floor muscle function (by Brink scale score). The subjects were 61.6 +/- 10.2 ((X) over bar +/- - SD) years of age. Thirteen percent of the subjects had stage II (to the hymen) pelvic organ prolapse, 68% had stage III (beyond the hymen) prolapse, and 19% had stage IV (complete vaginal eversion) prolapse. Subjects with lowest (3-6) and highest (10-12) Brink scale scores were compared on prolapse severity, pelvic symptoms and bother, quality of life, and sexual function.ResultsSubjects with the highest Brink scores (n=75) had less advanced prolapse, smaller genital hiatus measurements, and less urinary symptom burden compared with those with the lowest Brink scores (n=56). The results indicated that pelvic-floor muscle function was not associated with condition-specific quality of life or sexual function.Discussion and ConclusionAlthough modestly clinically significant, better pelvic-floor muscle function was associated with less severe prolapse and urinary symptoms.