女性肌筋膜源性骨盆疼痛:下尿路症状的相关性

IF 1.8 Q3 UROLOGY & NEPHROLOGY
Advances in Urology Pub Date : 2024-03-15 eCollection Date: 2024-01-01 DOI:10.1155/2024/5568010
Sabrina Einig, Esther Ruess, Andreas Schoetzau, Kerstin Ayllon Bartet, Viola Heinzelmann-Schwarz, Francesco Vigo, Tilemachos Kavvadias
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引用次数: 0

摘要

导言:患有下尿路症状(LUTS)和高音调骨盆底的女性在接受骨盆底检查时通常会感到疼痛,并有阳性触发点。然而,这些结果之间的相关性尚未得到系统的研究和充分的了解。本横断面研究旨在探讨盆腔肌筋膜疼痛与 LUTS 和盆底张力的相关性:所有参与者都填写了一份评估 LUTS 的标准化盆底问卷,该问卷由 43 个关于膀胱、肠道和性功能以及脱垂症状的问题组成。使用标准化数字检查技术评估了不同肌群(包括耻骨尾骨肌、髂尾骨肌和闭孔肌)的肌筋膜触发点以及盆底肌张力:110 名妇女参与了研究。不同肌群的疼痛与 LUTS 以及高张力盆底肌之间存在明显的相关性。盆底肌张力高与问卷总分(p < 0.001)、膀胱功能评分(p < 0.001)以及不同组别的各种疼痛评分之间也存在明显相关性。盆底肌张力高的人更可能有更多的LUTS和更高的疼痛评分:结论:盆底肌筋膜触发点的存在和盆底肌张力高似乎是盆底症状的反映,可通过标准化盆底问卷进行评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pelvic Pain of Myofascial Origin in Women: Correlation with Lower Urinary Tract Symptoms.

Introduction: Women with lower urinary tract symptoms (LUTS) and high-tone pelvic floor often experience pain and have positive trigger points upon pelvic floor examination. However, the correlation of these findings has not yet been systematically examined and sufficiently understood. The aim of this cross-sectional study is to examine the correlation of pelvic myofascial pain with LUTS and pelvic floor tone.

Materials and methods: All participants filled a standardized pelvic floor questionnaire to assess LUTS, which consists of a total of 43 questions regarding bladder, bowel, and sexual function as well as prolapse symptoms. Myofascial trigger points in different muscle groups including pubococcygeus, iliococcygeus, and obturator as well as pelvic floor muscle tone were assessed using a standardized digital examination technique.

Results: 110 women were included in the study. There was a significant correlation between pain in various muscle groups and LUTS as well as high-tone pelvic floor muscle. A significant correlation could also be found between high pelvic floor muscle tone and the overall questionnaire score (p < 0.001) as well as the bladder function score (p < 0.001) and various pain scores of the different groups. Individuals with high-tone pelvic floor were more likely to have more LUTS and higher pain scores.

Conclusions: The existence of myofascial pelvic floor trigger points and high pelvic floor muscle tone seem to be reflective of pelvic floor symptoms, as assessed with a standardized pelvic floor questionnaire.

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来源期刊
Advances in Urology
Advances in Urology UROLOGY & NEPHROLOGY-
CiteScore
2.90
自引率
0.00%
发文量
17
审稿时长
15 weeks
期刊介绍: Advances in Urology is a peer-reviewed, open access journal that publishes state-of-the-art reviews and original research papers of wide interest in all fields of urology. The journal strives to provide publication of important manuscripts to the widest possible audience worldwide, without the constraints of expensive, hard-to-access, traditional bound journals. Advances in Urology is designed to improve publication access of both well-established urologic scientists and less well-established writers, by allowing interested scientists worldwide to participate fully.
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