慢性盆腔疼痛症状与子宫内膜异位症存在之间的关联。
Association between chronic pelvic pain symptoms and the presence of endometriosis.
作者信息
Apostolopoulos Nikolaos V, Alexandraki Krystallenia I, Gorry Anwen, Coker Adeyemi
机构信息
Department of Obstetrics and Gynaecology, Queen's Hospital, Rom Valley Way, Romford, RM70AG, UK.
Department of Endocrinology, St Bartholomew's Hospital, West Smithfield, London, EC1A 7BE, UK.
出版信息
Arch Gynecol Obstet. 2016 Feb;293(2):439-45. doi: 10.1007/s00404-015-3855-2. Epub 2015 Sep 2.
PURPOSE
The link between endometriosis and the presence or intensity of pain is controversial. The aim of the present study was to assess the relationship between chronic pelvic pain (CPP) and severity of endometriosis and the effectiveness of laparoscopic treatment in a 6-month follow-up.
METHODS
Prospective observational study in a referral unit. 144 women had laparoscopy to investigate CPP. Symptoms were assessed by a 10-point visual analog scale. The main outcome measure was the frequency and intensity of CPP.
RESULTS
No difference in pain was found between women with and without endometriosis. Advanced endometriosis was associated with dysmenorrhea, deep endometriosis with dyspareunia and rectovaginal disease with dyschezia. Laparoscopic treatment improves symptoms.
CONCLUSIONS
Women with severe endometriosis are more likely to report severe dysmenorrhoea. Furthermore location of endometriosis in the rectovaginal space is associated with dyschezia and deep endometriosis with dyspareunia. However, the association between presence and stage of endometriosis and severity of symptoms is marginal.
目的
子宫内膜异位症与疼痛的存在或强度之间的联系存在争议。本研究的目的是评估慢性盆腔疼痛（CPP）与子宫内膜异位症严重程度之间的关系，以及腹腔镜治疗在6个月随访中的有效性。
方法
在一个转诊单位进行前瞻性观察研究。144名女性接受了腹腔镜检查以调查CPP。症状通过10分视觉模拟量表进行评估。主要结局指标是CPP的频率和强度。
结果
有和没有子宫内膜异位症的女性在疼痛方面没有差异。重度子宫内膜异位症与痛经相关，深部子宫内膜异位症与性交困难相关，直肠阴道疾病与排便困难相关。腹腔镜治疗可改善症状。
结论
患有严重子宫内膜异位症的女性更有可能报告严重痛经。此外，子宫内膜异位症在直肠阴道间隙的位置与排便困难相关，深部子宫内膜异位症与性交困难相关。然而，子宫内膜异位症的存在和分期与症状严重程度之间的关联很小。
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