Severity of pelvic organ prolapse associated with measurements of pelvic floor function
Severity of pelvic organ prolapse associated with measurements of pelvic floor function
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DOI：
10.1007/s00192-004-1274-1
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发表时间：
2005-12-01
影响因子：
1.8
通讯作者：
Clark, AL
中科院分区：
文献类型：
--
作者：
Ghetti, C;Gregory, WT;Clark, AL
本研究验证了会阴浅部和盆底肌（PFM）功能的临床测量与盆腔器官脱垂的严重程度相关的假设。这项回顾性横断面研究评估了1037名妇女在学术泌尿妇科实践。通过盆腔器官脱垂量化系统，脱垂的最大下降与两种提肛功能评估相关-牛津分级量表和通过手指检查测量的提肛裂孔（LH）大小。使用Pearson相关性计算连续变量和Kendall tau-b的相关性。脱垂的严重程度与生殖器裂孔（GH）（r=0.5，p < 0.0001）和LH（横向r=0.4，p < 0.0001;纵向r=0.5，p < 0.0001）中度相关，但与牛津分级量表弱相关（r=-0.16，p < 0.0001）。LH与GH相关（r=0.5，p < 0.0001），与会阴体无相关性（r=0.06，p=0.06）。GH和LH的大小与脱垂的严重程度相关。LH大小与脱垂严重程度的相关性比牛津分级量表对PFM功能的评估更强。
This study tested the hypothesis that clinical measurements of the superficial perineum and of pelvic floor muscle (PFM) function correlate with the severity of pelvic organ prolapse. This retrospective cross-sectional study assessed 1037 women in an academic urogynecologic practice. Greatest descent of prolapse, by the Pelvic Organ Prolapse Quantification system, was correlated with two assessments of levator function-the Oxford grading scale and levator hiatus (LH) size measured by digital examination. Correlations were calculated using Pearson's correlation for continuous variables and Kendall's tau-b. Severity of prolapse correlated moderately with genital hiatus (GH) (r=0.5, p < 0.0001) and with LH (transverse r=0.4, p < 0.0001; longitudinal r=0.5, p < 0.0001), but weakly with the Oxford grading scale (r=-0.16, p < 0.0001). LH correlated with GH (r=0.5, p < 0.0001) but not with perineal body (r=0.06, p=0.06). Both GH and LH size are associated with the severity of prolapse. LH size correlates more strongly to prolapse severity than assessment of PFM function by the Oxford grading scale.