摘要
Abstract
Objective To study the relationship of pelvic organ prolapse with vaginal cervical hypertrophy and elongation.Methods Select a total of 997 patients treated in Shengjing Hospital Affiliated to China Medical University who conformed with our recruited criteria from Mar.2015 to Nov.2016;according to the pelvic organ prolapse quantitative scale (pop-q score),the patients were divided into prolapse and non-prolapse group,with respectively 496 cases and 501 cases.We measured them by compass inside the vagina and obtained cervical anteroposterior diameter d2,transverse diameter d 1,vaginal cervix length d3 (the difference between C and D point in POP-Q scoring).We temporarily defined the threshold value of cervical hypertrophy and cervical elongation,that is,cervical enlargement:without postmenopausal:d1≥2.98 cm,d2≥2.87 cm,and postmenopausal women:d1 and d2≥2.81 cm;the vaginal cervical elongation:menopausal women with d3 ≥ 3.92 and postmenopausal women with d3 ≥3.9cm,and then we selected patients according to this value.Results In premenopausal patients,the rate of cervical enlargement and the vaginal cervical elongation was 35.39 ％ and 55.84 ％,respectively in the non-POP and POP patients,and the difference was statistically significant (P ＜ 0.05);in menopausal patients the rates were 17.50 ％ and 20.72 ％,repectively,with no statistical significance compared with the premenopausal women (P ＞ 0.05).The rate of cervical enlargement and elongation in mid-pelvic organ prolapse was significantly higher than that in vaginal anterior and posterior wall prolapse (P ＜ 0.05).Conclusion There is a significant correlation between hypertrophy and elongation of the vaginal uterine cervix and prolapse in premenopause patients,which may be related to the damage of the three-dimensional ring around the cervix.关键词
盆腔器官脱垂/盆腔器官脱垂定量分期法/宫颈增大/宫颈阴道部延长/宫颈周围立体环Key words
pelvic organ prolapse/pelvic organ prolapsed-qualification/cervical hypertrophy/the vaginal cervical elongation/three-dimensional ring around the cervix分类
医药卫生
