中山地区健康体检妇女盆底功能障碍筛查

The screening of pelvic floor disordersamong women attending health examination in Zhongshan city

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.

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.