临床误诊误治2026，Vol.39Issue(18)：55-61,7.DOI:10.3969/j.issn.1002-3429.2026.18.009
绝经后盆腔器官脱垂的危险因素及盆底超声与POP-Q系统诊断一致性分析
Risk factors of postmenopausal pelvic organ prolapse and analysis of diagnostic consistency of pelvic floor ultrasound and POP-Q system
摘要
Abstract
Objective To investigate the risk factors of pelvic organ prolapse(POP)in postmenopausal women,and to analyze the consistency of pelvic floor ultrasound and pelvic organ prolapse quantification(POP-Q)system in the diagnosis of postmenopausal POP patients.Methods The medical records of 240 postmenopausal women who were treated in Gynecological Clinic of Tangshan Maternal and Child Health Hospital due to pelvic floor dysfunction-related symptoms from January to December 2024 were retrospectively collected.According to the POP-Q system evaluation method,the patients were divided into POP group(n=109)and non-POP group(n=131).Univariate and multivariate logistic regression analyses were used to analyze the risk factors of POP in postmenopausal women.Kappa value was used to evaluate the consistency between pelvic floor ultrasound examination and POP-Q system in the diagnosis of postmenopausal POP,and Pearson correlation analysis was adopted to evaluate the correlation between the measurements obtained by the two methods.Results Among 240 postmenopausal women,109(45.42％)developed POP.The proportions of vaginal delivery ≥3 times,heavy physical labor and history of pelvic surgery in the POP group were higher than those in the non-POP group,whereas the serum estradiol level was lower in the POP group(P＜0.05).Multivariate logistic regression analysis showed that vaginal delivery ≥3 times,heavy physical labor,history of pelvic surgery and decreased serum estradiol level were independent risk factors for POP in postmenopausal women(P＜0.05).Pelvic floor ultrasound exhibited good diagnostic consistency with the POPQ system for postmenopausal POP,with a Kappa value of 0.687(P=0.407).The diagnostic results of POP-Q system showed that there were 44 patients with obvious anterior vaginal wall prolapse,56 patients with obvious uterine prolapse and 9 patients with significant rectocele.Pearson correlation analysis showed that there was a moderate-to-high correlation between POP-Q system measurement and pelvic floor ultrasound measurement(P＜0.05).Conclusion The occurrence of POP in postmenopausal women is closely related to the number of vaginal deliveries,occupation type,history of pelvic surgery and the level of serum estradiol,and the consistency of pelvic ultrasound and POP-Q system is good in the diagnosis of postmenopausal women with POP.关键词
盆腔器官脱垂/绝经/危险因素/盆底超声/盆腔器官脱垂定量分析/诊断Key words
pelvic organ prolapse/postmenopausal/risk factors/pelvic floor ultrasound/pelvic organ prolapse quantification/diagnosis引用本文复制引用
张梦,张前,梁楠楠..绝经后盆腔器官脱垂的危险因素及盆底超声与POP-Q系统诊断一致性分析[J].临床误诊误治,2026,39(18):55-61,7.基金项目
河北省医学科学研究重点课题计划项目(20251194) （20251194）
