Department of Obstetrics and Gynecology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Biomed Res Int. 2017;2017:2470397. doi: 10.1155/2017/2470397. Epub 2017 Sep 13.
To evaluate influences of various factors on the types and intensity of postoperative pain following gynecologic laparoscopic surgery.
Cross-sectional questionnaire and chart review.
A total of 84 questionnaires were distributed and returned. The types of postlaparoscopic pain are different in multiparous women and nulliparous ones (71.43% surgical wound pain versus 63.64% nonsurgical wound pain, = 0.0033) and those with striae gravidarum and without striae gravidarum (93.94% surgical wound pain versus 52.94% nonsurgical wound pain, < 0.0001). On postoperative day 1, the average VAS score is higher in nonsurgical wound pain than in surgical wound pain (5.62 ± 1.50 versus 3.51 ± 1.68, < 0.0001). The CO removal procedure has a significant negative correlation with the VAS of nonsurgical wound pain (coefficient: -0.4339, = 0.0187).
Our study suggests that women with abdominal rigidity (nulliparous, no striae gravidarum) experience mainly nonsurgical wound pain, while women with abdominal wall laxity mostly experience surgical wound pain. The VAS score of nonsurgical wound pain is greater than surgical wound pain on postoperative day 1. The CO removal procedure has negative correlation to the VAS score of nonsurgical wound pain on postoperative day 1.
评估各种因素对妇科腹腔镜手术后疼痛类型和强度的影响。
横断面问卷调查和图表回顾。
共发放并回收了 84 份问卷。经腹腔镜手术后的疼痛类型在多产妇和初产妇之间不同（71.43%为手术切口疼痛，63.64%为非手术切口疼痛， = 0.0033），有妊娠纹和无妊娠纹的患者之间也不同（93.94%为手术切口疼痛，52.94%为非手术切口疼痛， < 0.0001）。术后第 1 天，非手术切口疼痛的平均 VAS 评分高于手术切口疼痛（5.62 ± 1.50 比 3.51 ± 1.68， < 0.0001）。CO 清除术与非手术切口疼痛的 VAS 呈显著负相关（系数：-0.4339， = 0.0187）。
本研究表明，腹壁紧张（初产妇、无妊娠纹）的女性主要经历非手术切口疼痛，而腹壁松弛的女性主要经历手术切口疼痛。术后第 1 天，非手术切口疼痛的 VAS 评分大于手术切口疼痛。CO 清除术与术后第 1 天非手术切口疼痛的 VAS 评分呈负相关。
