切除受累骶棘韧带治疗子宫内膜异位症引起的盆腔疼痛
Treatment of pelvic cavity pain caused by endometriosis with excision of invaded sacrospinous ligament.
作者信息
Li Jinqiong, Yao Xia, Zhang Jing
机构信息
Jinqiong Li, Department Gynecology and Obstetrics, Affiliated Heji Hospital of Changzhi Medical College, Changzhi, Shanxi Province, 046000, P. R. China.
Xia Yao, Department Gynecology and Obstetrics, Affiliated Heji Hospital of Changzhi Medical College, Changzhi, Shanxi Province, 046000, P. R. China.
出版信息
Pak J Med Sci. 2018 Sep-Oct;34(5):1200-1203. doi: 10.12669/pjms.345.14830.
OBJECTIVE
To evaluate the clinical therapeutic effects of excision of invaded sacrospinous ligament on pelvic cavity pain caused by endometriosis.
METHODS
Eighty endometriotic patients treated in our hospital from January 2013 to December 2014 were chosen, and divided into a control group and an observation group. Regular operation (i.e. excision of endometriotic nidus and separation of pelvic cavity adhesion) was performed for the control group, while regular operation and sacrospinous ligament excision were conducted for the observation group. Intraoperative and postoperative conditions as well as postoperative pain remission of both groups were compared.
RESULTS
For the amount of bleeding during operation, the control group was (120±5.2) ml, while the observation group was (160±4.0) ml. For the duration of operation, the control group was (65±3.4) minutes, while the observation group was (92±2.6) min (p<0.05), with a significant difference. For the independent urination time after operation, the control group was (32±8.8) hour, while the observation group was (33±6.4) hour. For the evacuation time after operation, the control group was (38±2.6) hour, while the observation group was (39±3.0) hour (p>0.05), with a significant difference. The postoperative VAS scores of the two groups were significantly lower than those before operation, and the VAS score of the observation group was significantly lower than that of the control group, p<0.05.
CONCLUSIONS
Sacrospinous ligament excision relieved pain caused by endometriosis, so it may be applicable to the endometriosis patients with sacrospinous ligament infiltration or severe pain.
目的
评估切除受侵骶棘韧带对子宫内膜异位症所致盆腔疼痛的临床治疗效果。
方法
选取2013年1月至2014年12月在我院治疗的80例子宫内膜异位症患者，分为对照组和观察组。对照组行常规手术（即切除子宫内膜异位病灶及分离盆腔粘连），观察组在常规手术基础上行骶棘韧带切除术。比较两组术中及术后情况以及术后疼痛缓解情况。
结果
手术出血量方面，对照组为（120±5.2）ml，观察组为（160±4.0）ml。手术时长方面，对照组为（65±3.4）分钟，观察组为（92±2.6）分钟（p<0.05），差异有统计学意义。术后自主排尿时间方面，对照组为（32±8.8）小时，观察组为（33±6.4）小时。术后排气时间方面，对照组为（38±2.6）小时，观察组为（39±3.0）小时（p>0.05），差异无统计学意义。两组术后视觉模拟评分（VAS）均显著低于术前，且观察组VAS评分显著低于对照组，p<0.05。
结论
切除骶棘韧带可缓解子宫内膜异位症所致疼痛，故可能适用于骶棘韧带受侵或疼痛严重的子宫内膜异位症患者。
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