1101例女职员盆底功能筛查结果分析

Analysis of the Screening for the Pelvic Floor Muscle Function among 1101 Female Staff

目的:了解深圳市龙岗区女职员盆底功能障碍性疾病(PFD)的流行情况。方法:对1101例在本院进行筛查的女职员盆底结果进行回顾性分析,了解其PFD的发生情况。结果:1101例女职员中压力性尿失禁(SUI)发生率为25.25%(278/1101),阴道前壁脱垂的发生率为48.14%(530/1101),阴道后壁脱垂的发生率为5.27%(58/1101),子宫脱垂发生率为0.82%(9/1101),各年龄段SUI及盆腔脏器脱垂(POP)的发生率比较差异均有统计学意义(P<0.05)。分析尿失禁与各盆腔脏器脱垂的关系,发现阴道前壁脱垂(POPQ-1度)与尿失禁的发生密切相关(字2=20.813,P<0.001),阴道前壁脱垂(POPQ-2度)、阴道后壁脱垂、子宫脱垂与尿失禁无相关性(P>0.05)。结论:深圳市龙岗区女职员的盆底筛查结果不尽人意,PFD发病率高,患者主动就诊意识差,妇产科医生有必要主动筛查女性盆底功能,使盆底疾病得到早期诊治。

Objective： To investigate the prevalence status of pelvic floor dysfunctional diseases （ PDF ） among female staff in Shenzhen Longgang District.Method： The results of the screening for the pelvic floor muscle function among llOl female staff were retrospectively analyzed.Result： The occurrence rates of urinary incontinence, vaginae anterior prolapse, vaginae posterior prolapse and uterine prolapse were respectively 25.25% （ 278/1101 ）, 48.14% （ 530/1101 ）, 3.72% （ 41/1101 ） and 0.73% （ 8/1101 ）, the occurrence rates of SUI and PDF had statistical differences among each age group （ P〈O.05 ） .Analysis of the relationship between SUI and POP, found the anterior vaginal wall prolapse （ POPQ-1 ） was closely related with the incidence of urinary incontinence （ X2=20.813, P〈0.001 ） ; anterior vaginal wall prolapse （ POPQ-2 ）, posterior vaginal wall prolapse, uterine prolapse and urinary incontinence had no correlation （P〉O.05） .Conclusion： Poor situation of pelvic floor muscle function among female staff in Shenzhen Longgang with high occurrence rate of PDF and a poor awareness.For obstetrician- gynecologists, it is necessary to screen the function of the pelvic floor actively for early diagnosis and treatment.