Gavrilov S G, Lebedev I S, Son D A, Turishcheva O O
Russian National Research Medical University named after N.I. Pirogov, Moscow, Russia.
Municipal Clinical Hospital No 1 named after N.I. Pirogov, Moscow, Russia.
Angiol Sosud Khir. 2017;23(1):97-102.
The present study was conducted to examine the possibilities of the Von Korff questionnaire in assessing the impact of pelvic pain on social activity and working ability of women with pelvic varicose veins (PVV) and evaluating the results of treatment of the pathology involved.
The Von Korff questionnaire was administered in a total of 80 women presenting with PVV in order to assess the results of conservative and surgical treatment of PVV.
Using the Von Korff questionnaire made it possible to objectively evaluate the psychosocial impact of chronic pelvic pain (CPP). It was determined that in 56 patients the presence of PVV and CPP was accompanied by a low level of social disadaptation and formation of grade I disability. 24 women were found to have moderate and high levels of social disadaptation and grade II-IV disability. Studying the outcomes of conservative and surgical treatment of PPV as assessed by means of the Von Korff questionnaire demonstrated high efficacy of the therapeutic techniques used. In patients subjected to surgical interventions, the CPP degree decreased from 7.6±0.9 to 1.6±0.9 points, the level of social disadaptation fell from 2.8±0.6 to 0.5±0.3 points, and the grade of disability decreased from 2.9±0.4 to 0.8±0.4, which may be regarded as complete restoration of social activity.
The Von Korff questionnaire used in our study made it possible to objectively evaluate the impact of CPP related to pelvic varicose veins on formation of social disadaptation in women and a decrease in their working ability. In the general structure of the disease, 75% of women appeared to have a low level of social disadaptation and grade I disability, with a third having grade II, III and IV disability and a moderate-to-high level of social disadaptation. In 25% of women, the determined degree of disability averagely amounted to 2.9±0.4, thus suggesting their significant social disadaptation.
The carried out study showed that the Von Korff questionnaire is an objective and demonstrative tool of clinical determination of the severity of pelvic varicose veins, as well as the effect of CPP on both everyday and social activity of women suffering from the pathology concerned.
本研究旨在探讨冯·科尔夫问卷在评估盆腔疼痛对盆腔静脉曲张（PVV）女性社交活动和工作能力的影响以及评估相关病理治疗结果方面的可能性。
对总共80例患有PVV的女性进行冯·科尔夫问卷测评，以评估PVV保守治疗和手术治疗的结果。
使用冯·科尔夫问卷能够客观评估慢性盆腔疼痛（CPP）的社会心理影响。确定56例患者中PVV和CPP的存在伴有低水平的社会适应不良和I级残疾形成。发现24名女性存在中度和高度社会适应不良以及II - IV级残疾。通过冯·科尔夫问卷评估PPV保守治疗和手术治疗的结果表明所采用的治疗技术具有高效性。接受手术干预的患者中，CPP程度从7.6±0.9降至1.6±0.9分，社会适应不良水平从2.8±0.6降至0.5±0.3分，残疾等级从2.9±0.4降至0.8±0.4，这可视为社交活动的完全恢复。
我们研究中使用的冯·科尔夫问卷能够客观评估与盆腔静脉曲张相关的CPP对女性社会适应不良形成及其工作能力下降的影响。在该疾病的总体结构中，75% 的女性似乎社会适应不良水平较低且为I级残疾，三分之一的女性为II、III和IV级残疾且社会适应不良程度为中度至高度。在25% 的女性中，确定的残疾程度平均为2.9±0.4，表明她们存在明显的社会适应不良。
开展的研究表明，冯·科尔夫问卷是临床确定盆腔静脉曲张严重程度以及CPP对患有相关病理疾病女性日常和社交活动影响的客观且具有指示性的工具。
