Zebitay Ali G, Verit Fatma F, Sakar M Nafi, Keskin Seda, Cetin Orkun, Ulusoy A Ibrahim
a Department of Obstetrics and Gynecology , Suleymaniye Maternity and Women's Disease Education and Research Hospital , Istanbul , Turkey.
J Obstet Gynaecol. 2016 May;36(4):540-3. doi: 10.3109/01443615.2015.1127901. Epub 2016 Mar 25.
The objective of this prospective case-control study was to determine whether uterine corpus and cervical length measurements have a role in dysmenorrhoea aetiology in virgins. Patients with severe primary dysmenorrhoea with visual analog scale scores of ≥7 composed the dysmenorrhoea group (n = 51), while the control group (n = 51) was of women with painless menstrual cycles or with mild pain. Longitudinal and transverse axes of the uterine cervix and uterine corpus were measured. Correlation between severity of dysmenorrhoea and uterine cervix and corpus axes was calculated. Longitudinal and transverse axes of uterine cervix as well as uterine cervix volume were significantly higher in the dysmenorrhoea group compared to the controls. There was a significant positive correlation between severity of dysmenorrhoea and the length of cervical longitudinal and transverse axes and uterine cervical volume. Our findings reveal longer cervical length and greater cervical volume in young virgin patients with dysmenorrhoea and severe pain compared to those with no or less pain.
这项前瞻性病例对照研究的目的是确定子宫体和宫颈长度测量在处女痛经病因中是否起作用。视觉模拟量表评分≥7分的重度原发性痛经患者组成痛经组（n = 51），而对照组（n = 51）为月经周期无痛或轻度疼痛的女性。测量子宫颈和子宫体的纵轴和横轴。计算痛经严重程度与子宫颈和子宫体轴之间的相关性。与对照组相比，痛经组子宫颈的纵轴和横轴以及子宫颈体积明显更高。痛经严重程度与宫颈纵轴和横轴长度以及子宫颈体积之间存在显著正相关。我们的研究结果显示，与无痛或疼痛较轻的年轻处女患者相比，痛经且疼痛严重的年轻处女患者宫颈长度更长，宫颈体积更大。
