盆腔器官脱垂患者提肌裂孔膨出的发生率及其与提肌肌力的关系

Q4 Medicine
F. Moegni, Andrew Yurius Christian
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引用次数: 0

摘要

在盆腔器官脱垂(POP)患者的Valsalva操作中,提肛肌裂孔膨胀是一种独特的高膨胀现象。虽然它与盆底肌肉无力有关,但只有有限的证据表明它对提肛肌(LAM)力量的影响,特别是在印度尼西亚。本研究的目的是描述POP患者提肌裂孔肿胀的患病率及其对LAM强度的影响。2019年7月至2021年6月,对印度尼西亚雅加达Cipto Mangunkusumo国立综合医院的POP患者进行了横断面研究。不能进行Valsalva手法或会阴计的受试者以及有会阴破裂史的受试者被排除在外。根据超声测量的裂孔生殖器最大长度分为裂孔膨化组和非裂孔膨化组。比较两组患者的临床特征、肺裂孔球囊状态及LAM强度。在研究期间共招募了99名受试者(47名气球和52名非气球)。POP患者裂孔肿胀的发生率为47.5%。球囊组LAM强度明显降低(p = 0.018)。两组患者围膜测量结果与改良牛津评分结果之间存在显著相关性(p < 0.001)。伴有裂孔水肿的POP患者LAM强度较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Levator hiatal ballooning prevalence in pelvic organ prolapse patients and its relation to levator ani muscle strength
Ballooning of the levator hiatus is a unique phenomenon of hyperdistention seen during the Valsalva maneuver in Pelvic Organ Prolapse (POP) patients. Although it is related to the weakness of pelvic floor muscles, there is only limited evidence of its effect on Levator Ani Muscle (LAM) strength, especially in Indonesia. The aim of this study was to describe the prevalence of levator hiatal ballooning in POP patients and its effect on LAM strength. A cross-sectional study was done on POP patients at Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia, from July 2019 to June 2021. Subjects who could not perform the Valsalva maneuver or perineometer and those having a history of perineal rupture were excluded. Subjects were grouped into hiatal ballooning and non-ballooning group based on the maximum hiatal genital length measured using ultrasound examination. Clinical characteristics, hiatal ballooning status, and LAM strength were compared between groups. A total of 99 subjects (47 ballooning and 52 non-ballooning) were recruited during the study. The prevalence of hiatal ballooning in POP patients was 47.5%. There was significantly lower LAM strength in the ballooning group measured by perineometer (p = 0.018). There was a significant relationship between the perineometer result and Modified Oxford Grading Scale result in both groups (p < 0.001). Lower LAM strength was observed in POP patients with hiatal ballooning.
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来源期刊
Urogynaecologia International Journal
Urogynaecologia International Journal Medicine-Obstetrics and Gynecology
CiteScore
0.20
自引率
0.00%
发文量
10
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