初产妇阴道分娩3个月后的尿动力学指标及盆腔器官脱垂量化评估
Urodynamic indices and pelvic organ prolapse quantification 3 months after vaginal delivery in primiparous women.
作者信息
Wai Clifford Y, McIntire Donald D, Atnip Shanna D, Schaffer Joseph I, Bloom Steven L, Leveno Kenneth J
机构信息
Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX 75390-9032, USA.
出版信息
Int Urogynecol J. 2011 Oct;22(10):1293-8. doi: 10.1007/s00192-011-1438-8. Epub 2011 May 11.
INTRODUCTION AND HYPOTHESIS
This study aims to describe multichannel urodynamic indices and pelvic organ prolapse quantification (POP-Q) in primiparous women 3 months after vaginal delivery.
METHODS
This was a secondary analysis of a group of women who had been randomized to either coached or non-coached pushing during the second stage of labor. Primiparous women were evaluated with POP-Q examination and multichannel urodynamic testing 3 months after vaginal delivery.
RESULTS
Of 128 women evaluated, the cumulative stage of prolapse was distributed as 4.7% stage 0, 39% stage I, 56% stage II, and none with stage III prolapse or greater. For the anterior compartment, most had stage II prolapse. Stage I prolapse predominated for both the central and posterior compartments. Of the women, 14.1% had urodynamic stress incontinence, 12.5% had detrusor overactivity, and 6% had both.
CONCLUSIONS
In a predominantly Hispanic primiparous population, ICS POP-Q stage II prolapse of the vagina, urodynamic stress incontinence, and detrusor overactivity are common findings at a 3-month postpartum assessment.
引言与假设
本研究旨在描述初产妇阴道分娩3个月后的多通道尿动力学指标及盆腔器官脱垂定量（POP-Q）情况。
方法
这是一项对一组在第二产程中被随机分配为指导用力或非指导用力的女性进行的二次分析。初产妇在阴道分娩3个月后接受POP-Q检查和多通道尿动力学测试。
结果
在接受评估的128名女性中，脱垂累积分期分布为：0期4.7%，I期39%，II期56%，无III期或更严重脱垂。在前盆腔，大多数为II期脱垂。中央和后盆腔以I期脱垂为主。在这些女性中，14.1%有尿动力学压力性尿失禁，12.5%有逼尿肌过度活动，6%两者皆有。
结论
在以西班牙裔为主的初产妇人群中，国际尿控学会（ICS）POP-Q II期阴道脱垂、尿动力学压力性尿失禁和逼尿肌过度活动是产后3个月评估时的常见发现。
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