Szafarowska Monika, Biela Magdalena, Wichowska Joanna, Sobociński Kamil, Segiet-Święcicka Agnieszka, Doniec Jacek, Kamiński Paweł
Department of Gynecology and Oncological Gynecology, Military Institute of Medicine, Szaserów 128 Street, 04-141 Warsaw, Poland.
Department of Experimental and Clinical Physiology, Medical University of Warsaw, Żwirki I Wigury 61 Street, 02-091 Warsaw, Poland.
J Clin Med. 2021 Jun 30;10(13):2928. doi: 10.3390/jcm10132928.
Due to an increasing number of cesarean section deliveries, the common consequences of that surgery are observed more often in the population. One of them is the uterine cesarean scar defect known as niche or isthmocele. Most patients with that aliment are asymptomatic, but some of them can report abnormal uterine bleeding, pelvic pain, subfertility which can be the reason for reduced quality of life (QoL) of the patients. In our study, we analyzed the subjective feelings of changes in the severity of symptoms and quality of life of women with niche after diagnostic and operative hysteroscopy. The patients = 85 included in the study group completed a follow up questionnaire six months after the procedure. Patients after operative hysteroscopy in comparison to patients after diagnostic procedure reported statistically significant reduction in post-menstruation bleeding/spotting and improvement in the quality of sexual activity. We have also noticed a higher pregnancy rate in the operative group, however, the difference was not statistically significant. According to our study, most women reported a positive effect of hysteroscopy on their QoL in social, psychological, environmental, and health domains.
由于剖宫产分娩数量的增加，该手术的常见后果在人群中更为频繁地被观察到。其中之一是子宫剖宫产瘢痕缺损，称为切口憩室或峡部缺损。大多数患有这种病症的患者没有症状，但其中一些人可能会出现异常子宫出血、盆腔疼痛、生育力低下，这可能是患者生活质量（QoL）下降的原因。在我们的研究中，我们分析了诊断性和手术性宫腔镜检查后有切口憩室的女性症状严重程度变化和生活质量的主观感受。研究组纳入的85名患者在手术后六个月完成了一份随访问卷。与诊断性手术后的患者相比，手术性宫腔镜检查后的患者在月经后出血/点滴出血方面有统计学上的显著减少，并且性活动质量有所改善。我们还注意到手术组的妊娠率较高，然而，差异没有统计学意义。根据我们的研究，大多数女性报告宫腔镜检查对她们在社会、心理、环境和健康领域的生活质量有积极影响。
