Şentürk Şenol
Recep Tayyip Erdoğan University Faculty of Medicine, Department of Obstetrics and Gynecology, Rize, Turkey.
Turk J Obstet Gynecol. 2020 Jun;17(2):84-89. doi: 10.4274/tjod.galenos.2020.26032. Epub 2020 Jul 29.
This study aimed to evaluate whether uterine dimensions including uterine volume, uterine shape, uterine length, cervix length, and cervix thickness measurements have a role in the severity of primary dysmenorrhea in virgin girls.
Enrollment included 90 virgin girls suffering from primary dysmenorrhea. The girls were divided into three groups according to the severity of dysmenorrhea, which was determined by the visual analog scale (VAS). Patients with VAS scores of 8-10 comprised the severe primary dysmenorrhea group (n=30), 4-7 the moderate primary dysmenorrhea group (n=30), and 1-3 the mild primary dysmenorrhea group (n=30). Uterine characteristics including uterine volume, uterine shape, uterine length, cervix length, and cervix thickness were measured by a high-resolution four-dimensional ultrasound device with real-time capacity. They were recorded to determine if they can be predictors of dysmenorrhea severity.
Girls with severe primary dysmenorrhea were more likely to complain of midline pain as opposed to mild and moderate cases with lateral or diffuse pain. None of the uterine characteristics on ultrasonography examination were significant for predicting the severity of primary dysmenorrhea. There were no significant positive correlations between the dysmenorrhea severity and uterine corpus length, cervix length, and uterine volume degree. Any combination of the measured uterine features was not predictive for determining the severity of dysmenorrhea.
Ultrasonographic measurements of uterine dimensions in virgins have low accuracy for predicting the severity of pain in primary dysmenorrhea.
本研究旨在评估子宫尺寸，包括子宫体积、子宫形状、子宫长度、宫颈长度和宫颈厚度测量值，是否与处女原发性痛经的严重程度有关。
纳入90名患有原发性痛经的处女。根据视觉模拟评分法（VAS）确定的痛经严重程度，将这些女孩分为三组。VAS评分为8 - 10分的患者组成重度原发性痛经组（n = 30），4 - 7分的组成中度原发性痛经组（n = 30），1 - 3分的组成轻度原发性痛经组（n = 30）。使用具有实时功能的高分辨率四维超声设备测量子宫特征，包括子宫体积、子宫形状、子宫长度、宫颈长度和宫颈厚度。记录这些特征以确定它们是否可作为痛经严重程度的预测指标。
与轻度和中度原发性痛经患者出现侧方或弥漫性疼痛不同，重度原发性痛经女孩更易主诉中线疼痛。超声检查的任何子宫特征对于预测原发性痛经的严重程度均无显著意义。痛经严重程度与子宫体长度、宫颈长度和子宫体积程度之间均无显著正相关。所测量的子宫特征的任何组合均不能预测痛经的严重程度。
超声测量处女的子宫尺寸对预测原发性痛经疼痛严重程度的准确性较低。
