fa بررسی میزان بروز بی اختیاری ادراری قبل و پس از تعویض کامل مفصل ران ارتوپدی پژوهشي Research <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> اختلالات ادراری&nbsp; میتواند بر نتایج تعویض کامل مفصل ران (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%">THA</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">) تاثیرات منفی بگذارد . میزان رضایت بیماران را کاهش دهد. بی اختیاری ادراری (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%">UI</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">) یکی از مشکلات ادراری است که در سالهای اخیر در بیماران </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%">THA</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> مورد بررسی قرار گرفته است. در مطالعه حاضر، شیوع </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%">UI</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> در بیماران دچار استئوآرتریت پیشرفته، قبل و پس از </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%">THA</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">، بررسی شد.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">مواد و روش ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> در سال های 1400 تا 1403، 400 بیمار </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%">THA</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> مورد بررسی قرار گرفتند. قبل از عمل و 6 ماه پس از عمل، پرسشنامه </span></span></span><span dir="LTR" lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">International Consultation on Incontinence Questionnaire-Short Form</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> (</span></span></span></span><span dir="LTR" lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">ICIQ-SF</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124">) برای بیماران تکمیل شد تا وجود و شدت </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">UI</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> ارزیابی شود.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124">یافته ها:</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> شیوع </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">UI</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> قبل از </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">THA</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> برابر 2/26% که پس از عمل به 5/22% کاهش یافت. پس از </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">THA</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124">، </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">UI</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> در 7/46% از بیماران کاملا برطرف شد. از سوی دیگر، 34 بیمار پس از جراحی دچار </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">UI</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> شدند. شدت </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">UI</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> در 3/79% از بیماران ثابت ماند. در هر صورت اختلاف آماری معناداری بین وضعیت </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">UI</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> قبل و پس از جراحی در این مطالعه دیده نشد (102/0=</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">p</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124">).</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124">نتیجه گیری: </span></span></span></span></b><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">UI</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> یک اختلال ادراری مهم در بیماران </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">THA</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> است که باید قبل و پس از جراحی مورد ارزیابی قرار بگیرد. اگرچه در این مطالعه، </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">UI</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> تقریبا در نیمی از بیماران پس از جراحی یهیود یافت اما در هر حال، در 11% از بیماران نیز، </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">UI</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> پس از جراحی بروز پیدا کرد. مطالعات بیشتری باید در آینده انجام شود تا علل بهبود و یا ایجاد </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">UI</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> پس از </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">THA</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> شناخته شود.</span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:14.0pt"><span style="font-family:IRMitra"><span style="color:#16469d"><span style="letter-spacing:-.05pt">Abstract </span></span></span></span></b></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:13.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-.05pt">Background:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Urinary disorders can complicate the outcomes of total hip arthroplasty (THA) and affect patient satisfaction. Urinary inconsistence (UI) is one the urinary disorders that has been investigated in THA patients in recent years. The current study examines the incidence of UI in the patients with end-stage hip osteoarthritis before and after THA.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:13.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-.3pt">Methods:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> From 2021 to 2024, 400 THA patients were enrolled in this study. Preoperatively and six months postoperatively, the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) was administered to assess the presence of UI. </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:13.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-.3pt">Results:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The incidence of UI was 26.2% before THA which decreased to 22.5% after the operation. Following THA, UI resolved in 46.7% of patients with preoperative UI. However, there were 34 new cases of UI after the operation. The UI status remained unchanged in 79.3% of the patients. There was no statistically significant difference between the patients&rsquo; pre- and post-operative UI status (p=0.102).</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:13.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-.3pt">Conclusion:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> UI is an important urinary disorder in THA patients which should be assessed both preoperatively and postoperatively. Although, UI resolved in half of the affected patients after the operation, approximately 11% developed UI postoperatively. Future studies are needed to investigate the underlying mechanism.</span></span></span></span></span></span></span></span> تعویض کامل مفصل ران, اختلال ادراری, بی‌اختیاری ادراری, استئوآرتریت هیپ Total hip arthroplasty, Urinary disorder, Urinary inconsistence, Hip 69 74 http://jmciri.ir/browse.php?a_code=A-10-2057-1&slc_lang=fa&sid=1 Afshin Taheriazam افشین طاهری اعظم dr.taheriazam@gmail.com 100319475328460011157 100319475328460011157 No Hip Surgeon, Department of Orthopedic Surgery, TeMS.C., Islamic Azad University, Tehran, Iran فلوشیپ جراحی هیپ، گروه جراحی ارتوپدی، واحد علوم پزشکی تهران، دانشگاه آزاد اسلامی، تهران، ایران Feryal Momenilandi فریال مومنی لندی feryal.ml.71@gmail.com 100319475328460011158 100319475328460011158 No General Practitioner, Functional NeuroSurgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran مرکز تحقیقات جراحی اعصاب عملکردی، دانشگاه علوم پرشکی شهید بهشتی، تهران، ایران Farshad Safdari فرشاد صفدری f.safdari.to@gmail.com 100319475328460011159 100319475328460011159 Yes Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran گروه ارتوز و پروتز، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران