中山地区健康体检妇女盆底功能障碍筛查

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摘要目的探讨对健康体检妇女进行盆底功能障碍性疾病(PFD)筛查的价值。方法收集分析2011年1月—2012年12月中山地区13家医院门诊进行健康体检妇女盆底功能障碍性疾病筛查的资料,筛查方法包括盆底肌肉压力检测、张力检测、肌电检测以及尿流率检测。分析盆底功能障碍性疾病(PFD)筛查的价值。结果健康体检妇女接受筛查者共1 842例,PFD检出率为56.0%,其中盆腔脏器脱垂、压力性尿失禁、慢性盆腔疼痛、性功能障碍和粪失禁的检出率分别为53.1%、6.9%、1.5%、0.3%和0.2%;15岁～、20岁～、30岁～、40岁～、50岁～、60岁～、70岁～、80～89岁检出率分别为0、34.2%、54.5%、62.7%、73.3%、74.6%、84.6%、100.0%,随着年龄的增长,PFD的检出率相应增加;盆底肌力≤2级和>2级的PFD检出率分别为46.9%和9.1%,差异有统计学意义。结论医院内健康体检妇女盆底功能障碍性疾病检出率高,有必要对健康体检人群常规盆底功能检查,以达到早期评估、早期康复指导、早期防治的目的。

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	张樱樱
	苏园园
	韩燕华
	李丹彦

关键词 ：盆底功能障碍性疾病, 筛查, 健康体检

Abstract：Objective To investigate the value of screening on pelvic floor disorders (PFD) among women attending health examination in Zhongshan city. Methods Screening data from 13 hospital in Zhongshan Region on PFD of outpatient women in health examination from January 2011 to December 2012 were analyzed. Screening methods included pelvic floor muscle pressure testing, tensile testing, electromyography, and urinary flow rate detection. Results A total of 1842 cases of women underwent screening and the overall detection rate of PFD was 56.0%. The detection rate of pelvic organ prolapse, urinary incontinence, chronic pelvic pain, sexual dysfunction, and fecal incontinence was 53.1%,6.9%,1.5%,0.3%, and 0.2%, respectively. The detection rate increased with age. The detection rate in women with pelvic floor muscle strength ≤ 2 was 46.9%, while that in women with pelvic floor muscle strength > 2 was 9.1%. The difference between the two groups was statistically significant. Conclusion The detection rate of PFD was high in women attending health examination. Seemingly healthy women should seek routine pelvic examination in order to achieve early assessment, early rehabilitation, and early treatment.

Key words： Pelvic floor disorders Screening Health examination

收稿日期: 2014-03-24

通讯作者: 苏园园 (yuan6809@hotmail.com)

引用本文:

张樱樱, 苏园园, 韩燕华, 李丹彦. 中山地区健康体检妇女盆底功能障碍筛查[J]. 中国生育健康杂志, 2015, 26(1): 18-20.
ZHANG Yingying, SU Yuanyuan, HAN Yanhua, LI Danyan. The screening of pelvic floor disordersamong women attending health examination in Zhongshan city. Chinese Journal of Reproductive Health, 2015, 26(1): 18-20.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2015/V26/I1/18

1 Walters MD.Pelvic floor disorders in women:an overview.Rev Med Univ Navarra,2004,48:9-12,15-17.
2 Achtari C,Dwyer PL.Sexual function and pelvic floor disorders.Best Pract Res Clin Obstet Gynaecol,2005,19:993-1008.
3 Lawrence JM,Lukacz ES,Nager CW,et al.Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women.Obstet Gynecol,2008,111:678-685.
4 马乐,王雪影.中国女性盆底功能障碍疾病的诊治进展.中国生育健康杂志,2010,21:254-256.
5 任旭琦,熊梦舟,罗家琳.妇科门诊患者中开展宫颈癌机会性筛查健康教育的模式及效果.热带医学杂志,2012,12:1014-1015.
6 Seo JT,Kim JM.Pelvic organ support and prevalence by Pelvic Organ Prolapse-Quantification (POP-Q) in Korean women.J Urol,2006,175:1769-1772.
7 Neumann GA,Lauszus FF,Ljungstrom B,et al.Incidence and remission of urinary incontinence after hysterectomy-a 3-year follow-up study.Int Urogynecol J Pelvic Floor Dysfunct,2007,18:379-382.
8 Luber KM,Boero S,Choe JY.The demographics of pelvic floor disorders:current observations and future projections.Am J Obstet Gynecol,2001,184:1496-1501.
9 Butrick CW.Pelvic floor hypertonic disorders:identification and management.Obstet Gynecol Clin North Am,2009,36:707-722.
10 Sung VW,Raker CA,Myers DL,et al.Treatment decision-making and information-seeking preferences in women with pelvic floor disorders.Int Urogynecol J,2010,21:1071-1078.
11 Megabiaw B,Adefris M,Rortveit G,et al.Pelvic floor disorders among women in Dabat district,northwest Ethiopia:a pilot study.Int Urogynecol J,2013,24:1135-1143.
12 Sevilla C,Wieslander CK,Alas AN,et al.Communication between physicians and Spanish-speaking Latin American women with pelvic floor disorders:a cycle of misunderstanding?Female Pelvic Med Reconstr Surg,2013,19:90-97.
13 MacLennan AH,Taylor AW,Wilson DH,et al.The prevalence of pelvic floor disorders and their relationship to gender,age,parity and mode of delivery.BJOG,2000,107:1460-1470.