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女性盆底功能障碍性疾病(FPFD)是主要由于盆底支持缺陷、损伤、退化等导致盆腔器官发生移位或功能紊乱而引起的一系列病症，往往与肌肉、结缔组织、筋膜、神经和血管等一种或多种功能异常有关，每种类型FPFD的发生机制复杂，病因不一，两种及以上类型的FPFD往往同时出现。系统而全面的评估有助于了解疾病发生原因及为患者制定综合治疗方案提供依据。本章节以尿失禁和盆腔器官脱垂为例，重点阐述系统性临床评估内容。
Abstract：Female pelvic floor dysfunction(FPFD) is a series of conditions caused by the displacement or dysfunction of the pelvic organs due to defects, injuries, and deterioration of the pelvic floor supportive structures. The pathogenesis of each type of FPFD is complex and the etiologies are different, two or more types of FPFD often occur at the same time. A systematic and comprehensive evaluation is helpful to understand the causes of the disease and to provide the basis for formulating comprehensive treatment strategy for patients. This paper focuses on the systematic clinical evaluation of urinary incontinence and pelvic organ prolapse.
[1] Wlazlak E,Grzybowska ME,Rechberger T,et al.The Urogynecology Section of the Polish Society of Gynecologists and Obstetricians Guideline for the diagnostic assessment of stress urinary incontinence in women[J].Ginekol Pol,2023,94:330-336.
[2] Naumann G,Aigmüller T,Bader W,et al.Diagnosis and therapy of female urinary incontinence.Guideline of the DGGG,OEGGG and SGGG(S2k-Level,AWMF Registry No.015/091,January 2022):Part 1 with recommendations on diagnostics and conservative and medical treatment[J].Geburtsh frauenheilk,2023,83:377-409.
[3] 中国整形美容协会女性生殖整复分会.阴道松弛症诊断与治疗专家共识(2020年版)[J].中国实用妇科与产科杂志，2020,36:965-967.
[4] 中华医学会妇产科学分会妇科盆底学组.女性尿失禁诊断和治疗指南(2017)[J].中华妇产科杂志，2017,52:289-293.
[5] Medeiros Araujo C,de Morais NR,Sacomori C,et al.Pad test for urinary incontinence diagnosis in adults:Systematic review of diagnostic test accuracy[J].Neurourol urodynam,2022,41:696-709.
[6] 肖汀，张新玲，杨丽新，等.超声观察尿道旋转角在女性压力性尿失禁中的应用[J].中国临床医学影像杂志，2017,28:374-375.
[7] Shek KL,Dietz HP.The urethral motion profile:a novel method to evaluate urethral support and mobility[J].Aust N Z J Obstet Gynaecol,2008,43:337-342.
[8] Haylen BT,de Ridder D,Freeman RM,et al.An International Urogynecological Association(IUGA)/International Continence Society(ICS) joint report on the terminology for female pelvic floor dysfunction[J].Neurourol Urodyn,2010,29:4-20.
[9] Glazer HI,Marinoff SC.Vulvovaginal pain disorders with surface electromyographic assisted pelvic floor muscle rehabilitation[EB/OL].Availabvle at:http://www.bfe.org/protocol/pro11eng.htm.
[10] Glazer HI,Hacad CR.The Glazer protocol:evidence-based medicine pelvic floor muscle(PFM) surface electromyography(SEMG)[J].Biofeedback,2012,40:75-79.
[11] 陈娟，任远，朱兰.改良牛津肌力分级和盆底表面肌电评估女性压力性尿失禁患者盆底肌功能的相关性[J].中华医学杂志，2020,100:2908-2912.
[12] Zhang H,Gou Y,Zhang J,et al.Analysis of pelvic floor electromyography in women screened 42 days postpartum:a cross-sectional study[J].Medicine(Baltimore),2023,102:e33851.
[13] 胡丽蓉，冉海涛，胡丽娜，等.盆底超声和肌电生理检查在女性压力性尿失禁中的临床应用[J].重庆医科大学学报，2015,40:1532-1536.
[14] 胡洋，楼叶琳，张恒，等.盆底超声与盆底肌电生理参数评估产后女性压力性尿失禁的相关性研究[J].浙江医学，2022,44:1099-1103.
[15] 许军丽，陈天亮，吴梓芳.产后女性盆底超声与盆底肌电生理参数及压力性尿失禁的影响因素分析[J].中外医学研究，2022,20:172-176.
[16] 宋蕾，许瑶璇，张丽.三维超声和盆底肌电生理评估联合评价产后早期肛提肌收缩功能[J].中国临床医学影像杂志，2019,30:195-198.
[17] 敖钰.产后盆底功能评估中三维盆底超声检查联合盆底肌电图检查的应用探究[J].现代医用影像学，2021,30:1555-1557.
[18] Ku JH,Jeong IG,Lim DJ,et al.Voiding diary for the evaluation of urinary incontinence and lower urinary tract symptoms:prospective assessment of patient compliance and burden[J].Neurourol Urodyn,2004,23:331-335.
[19] Nambiar AK,Bosch R,Cruz F,et al.EAU guidelines on assessment and nonsurgical management of urinary incontinence[J].Eur Urol,2018,73:596-609.
[20] 杜廖芳，蒋妍，黄向华.女性尿失禁的分类及诊断标准[J].实用妇产科杂志，2018,34:164-167.
[21] 罗新.女性尿失禁诊断方法及其评价(三)[J].中国实用妇科与产科杂志，2006,22:877-880.
[22] Kim JK,Kim YJ,Choo MS,et al.The urethra and its supporting structures in women with stress urinary incontinence:MR imaging using an endovaginal coil[J].AJR Am J Roentgenol,2003,180:1037-1044.
[23] Law YM,Fielding JR.MRI of pelvic floor dysfunction:review[J].AJR Am J Roentgenol,2008,191(Suppl):S45-53.
[24] Artibani W,Cerruto MA.The role of imaging in urinary incontinence[J].BJU Int,2005,95:699-703.
[25] Pelvic organ prolapse:ACOG practice bulletin summary,number 214[J].Obstet Gynecol,2019,134:1124-1127.
[26] 中华医学会妇产科学分会妇科盆底学组.盆腔器官脱垂的中国诊治指南(2020年版)[J].中华妇产科杂志，2020,55:300-305.
[27] Abrams P,Andersson KE,Birder L,et al.Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee:Evaluation and treatment of urinary incontinence,pelvic organ prolapse,and fecal incontinence[J].Neurourol Urodyn,2010,29:213-240.
[28] NICE guidance - urinary incontinence and pelvic organ prolapse in women:management:?NICE(2019) urinary incontinence and pelvic organ prolapse in women:management[J].BJU Int,2019,123:777-803.
[29] 邹玉芬，尹虹，宋艳.超声在定量分析女性子宫脱垂中的应用[J].医学影像学杂志，2020,30:814-818.
[30] Dietz HP.Ultrasound in the assessment of pelvic organ prolapse[J].Best Pract Res Clin Obstet Gynaecol,2019,54:12-30.
[31] 中国医师协会肛肠医师分会，中国医师协会肛肠医师分会肛肠疾病专家委员会，中国医师协会肛肠医师分会临床指南工作委员会.排粪失禁临床诊治中国专家(2022版)[J].中华胃肠外科杂志，2022,25:1065-1072.
[32] 蔡莉，王海龙.经会阴盆底超声定量参数在产后盆腔器官脱垂评估中的应用研究[J].影像研究与医学应用，2022,6:50-52.
[33] Bae?ler K,Aigmüller T,Albrich S,et al.Diagnosis and therapy of female pelvic organ prolapse.Guideline of the DGGG,SGGG and OEGGG(S2e-Level,AWMF Registry Number 015/006,April 2016)[J].Geburtshilfe Frauenheilkd,2016,76:1287-1301.
[34] 卓芸巧，李文娟，陈芸芸，等.盆腔器官脱垂患者的盆底肌电特征生理分析[J].现代实用医学，2022,34:185-187.
[35] Xiong L,Gong X,Siah KT,et al.Rome foundation Asian working team report:Real world treatment experience of Asian patients with functional bowel disorders[J].Gastroenterol Hepatol,2017,32:1450-1456.
[36] 中国医师协会肛肠医师分会，中国医师协会肛肠医师分会临床指南工作委员会，中国中西医结合学会大肠肛门病专业委员会，等.出口梗阻型便秘诊治中国专家共识(2022版)[J].中华胃肠外科杂志，2022,25:1045-1057.
[37] Female sexual dysfunction:ACOG practice bulletin summary,number 213[J].Obstet Gynecol,2019,134:203-205.
[38] 王玉，刘朝晖.美国妇产科医师学会关于女性性功能障碍临床管理指南的解读[J].现代妇产科进展，2020,29:942-946.
[39] Chronic pelvic pain:ACOG practice bulletin,number 218[J].Obstet Gynecol,2020,135:e98-109.
[40] Engeler D,Baranowski AP,Berghmans B,et al.EAU guidelines on chronic pelvic pain[EB/OL].Available at:https://d56bochluxqnz.cloudfront.net/documents/full-guideline/EAU-Guidelines-on-Chronic-Pelvic-Pain-2022.pdf.
基本信息:
中图分类号:R711.5;R493
引用信息:
[1]刘盼,沈彩娥,唐桂艳,等.女性盆底功能障碍性疾病诊治流程及物理康复技术临床应用——临床评估与诊断[J].生殖医学杂志,2024,33(04):419-426.
基金信息:
中国盆底手术移植物并发症登记及盆底康复预防平台体系建立项目(2021YFC2701300); 河南省医学科技攻关计划项目(LHGJ20210380)
2024-04-15
2024-04-15