Vaginal wall descensus and pelvic floor symptoms in older women
Vaginal wall descensus and pelvic floor symptoms in older women
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DOI：
10.1097/01.aog.0000180183.03897.72
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发表时间：
2005-10-01
影响因子：
7.2
通讯作者：
Nygaard, IE
中科院分区：
文献类型：
--
作者：
Bradley, CS;Nygaard, IE
目的：了解老年妇女早期骨盆器官脱垂的临床意义，我们研究了阴道降膜和骨盆底症状之间的关联。方法：在这项横断面研究中，有270名女性在妇女健康试验的一个地点招募了临床试验。从骨盆底部的骨盆底症状库存中修改的问卷调查，并接受了骨盆器官脱垂定量（POP-Q）考试。我们测试了症状（个体和分组）与前，后，子宫和最大阴道降膜之间的关联。分析：平均年龄为68岁。 96％的阶段I或II阶段。只有阻塞性尿症状和感觉隆起才与阴道降膜有关。阻塞性尿症状评分随着前方（p = .04），后部（p <.01）和最大（p = .01）的阴道降低而增加。尿失禁或肠道症状与任何阴道室的衰减无关。 11名妇女（4％）报道说：“请参阅或感到隆起
OBJECTIVE: To understand the clinical significance of early pelvic organ prolapse in older women, we studied associations between vaginal descensus and pelvic floor Symptoms.METHODS: In this cross-sectional study, 270 women enrolled at one site of the Women's Health Initiative clinical trial completed a questionnaire modified from the Pelvic Floor Distress Inventory on pelvic floor symptoms and underwent a Pelvic Organ Prolapse Quantification (POP-Q) examination. We tested associations between symptoms (individual and grouped) with anterior, posterior, uterine, and maximum vaginal descensus.RESULTS: Mean age was 68 years. Ninety-six percent had POP-Q stages I or II. Only obstructive urinary symptoms and feeling a bulge were associated with vaginal descensus. Obstructive urinary symptom scores increased as anterior (P = .04), posterior (P < .01), and maximal (P = .01) vaginal descensus increased. Urinary incontinence or bowel symptoms were not associated with descensus of any vaginal compartment. "See or feel a bulge," reported by 11 women (4%), was associated with descensus in all compartments (P