因慢性盆腔疼痛接受腹腔镜检查且未发现明显病变的女性患者行腹腔镜阑尾切除术。
Laparoscopic appendectomy in women without identifiable pathology undergoing laparoscopy for chronic pelvic pain.
作者信息
Lal Ann K, Weaver Amy L, Hopkins Matthew R, Famuyide Abimbola O
机构信息
Department of Obstetrics and Gynecology, University of Illinois, Chicago, IL, USA.
出版信息
JSLS. 2013 Jan-Mar;17(1):82-7. doi: 10.4293/108680812X13517013317031.
OBJECTIVES
To assess the effectiveness of appendectomy in women undergoing laparoscopy for chronic pelvic pain without identifiable pathology.
METHODS
This retrospective cohort study included women aged 15 to 50 years who underwent laparoscopic surgery for chronic pelvic pain without identifiable pathology. The cohort was divided into 2 groups: women who underwent appendectomy and women who had not undergone appendectomy at laparoscopic surgery. Postoperative pain was assessed at 6-week follow-up and by subsequent mailed questionnaire.
RESULTS
Women who underwent appendectomy (n = 19) were significantly more likely to report improvement in pain at 6-week follow-up than women who did not undergo appendectomy (n = 76) (93% vs 16%; P < .001). Thirty-six patients (38%) responded to the questionnaire at a median of 4.2 years after surgery, when the median change (improvement) in reported pain was greater in the appendectomy group than in the nonappendectomy group.
CONCLUSION
Appendectomy is effective therapy for patients with chronic pelvic pain of unknown etiology who are undergoing laparoscopy.
目的
评估阑尾切除术对因慢性盆腔疼痛接受腹腔镜检查但未发现明显病变的女性患者的有效性。
方法
这项回顾性队列研究纳入了年龄在15至50岁之间、因慢性盆腔疼痛接受腹腔镜手术且未发现明显病变的女性。该队列分为两组：接受阑尾切除术的女性和在腹腔镜手术时未接受阑尾切除术的女性。术后6周进行随访并通过后续邮寄问卷评估疼痛情况。
结果
接受阑尾切除术的女性（n = 19）在6周随访时报告疼痛改善的可能性显著高于未接受阑尾切除术的女性（n = 76）（93% 对16%；P <.001）。36名患者（38%）在术后中位时间4.2年回复了问卷，此时报告的疼痛中位变化（改善）在阑尾切除术组大于未行阑尾切除术组。
结论
对于因不明病因慢性盆腔疼痛而接受腹腔镜检查的患者，阑尾切除术是一种有效的治疗方法。
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