Department of Physical Therapy, Faculty of Health Sciences, Universidad San Jorge, Autovía A-23 Zaragoza-Huesca Km. 299, 50830, Villanueva de Gállego, Zaragoza, Spain.
Centro de Fisioterapia Enrique Sierra. Zaragoza, Spain.
Complement Ther Clin Pract. 2022 Feb;46:101517. doi: 10.1016/j.ctcp.2021.101517. Epub 2021 Nov 24.
and Purpose: Endometriosis-associated pain is the main cause of chronic pelvic pain in women. Endometriosis has a significant negative impact across different domains of patients' quality of life. This study aimed to evaluate the efficacy of an intracavitary application of monopolar dielectric radiofrequency in women with endometriosis-associated pain.
Five women with endometriosis received 25 sessions of an intracavitary application of monopolar dielectric radiofrequency within three months. Outcomes, including quality of life, sex interference (Endometriosis Health Profile [EHP]-30 + section C), myofascial pain syndrome (myofascial trigger points), pain intensity (Visual Analogue Scale), frequency and referral pattern, pressure pain thresholds, allodynia and neuropathic pain (modified DN4), were examined both during and outside menses, after intervention and six months later.
Clinically meaningful improvements were achieved by most participants regarding pelvic pain intensity, abdominal sensitivity, and myofascial pain of the pelvic floor.
This study lays the foundation for future in-depth research, suggesting that monopolar dielectric radiofrequency could be helpful in improving the symptomatology and quality of life of women with endometriosis, also in patients who are unresponsive to medical and/or surgical treatments, or who cannot undergo them in the short term.
子宫内膜异位症相关疼痛是导致女性慢性盆腔痛的主要原因。子宫内膜异位症对患者生活质量的多个领域均有显著的负面影响。本研究旨在评估腔内应用单极介电泳射频治疗子宫内膜异位症相关疼痛的疗效。
5 名患有子宫内膜异位症的女性在三个月内接受了 25 次腔内单极介电泳射频治疗。治疗后和治疗后 6 个月，评估了包括生活质量（子宫内膜异位症健康状况问卷[EHP]-30+C 部分）、性交干扰（性干扰）、肌筋膜疼痛综合征（肌筋膜触发点）、疼痛强度（视觉模拟评分法）、频率和放射模式、压痛阈值、感觉异常和神经性疼痛（改良 DN4）在内的多个结局。评估在经期内和经期外、干预后进行。
大多数患者的盆腔疼痛强度、腹部敏感度和盆底肌筋膜疼痛均有明显改善。
本研究为进一步深入研究奠定了基础，表明单极介电泳射频可能有助于改善子宫内膜异位症患者的症状和生活质量，对于那些对药物和/或手术治疗无反应或短期内无法接受这些治疗的患者也可能有效。
