子宫内膜异位症患者手术后生活质量（EHP-30）的改善。
Improved quality of life (EHP-30) in patients with endometriosis after surgical treatment.
机构信息
Universidade Federal do Maranhão, College of Medicine, Department of Medicine - São Luís (MA), Brazil.
Hospital São Domingos, Ginecology Service - São Luís (MA), Brazil.
出版信息
Rev Assoc Med Bras (1992). 2023 Aug 14;69(8):e20230316. doi: 10.1590/1806-9282.20230316. eCollection 2023.
OBJECTIVE
This study aimed to evaluate the quality of life of patients with endometriosis before and after surgical treatment.
METHODS
An observational, longitudinal, and prospective study was conducted with 102 women with pelvic pain and endometriosis that was unimproved by clinical treatment and indicated for surgical treatment. The patients' quality of life was assessed using the 30-item Endometriosis Health Profile (EHP-30) questionnaire before and 3 and 6 months after surgery. The statistical tests were analyzed using the Statistical Package for Social Sciences version 17.0, and the Friedman test was used.
RESULTS
There was a reduction in EHP-30 scores 3 and 6 months after surgery compared to before surgery, as well as 6 months after surgery compared to 3 months after surgery, in the central questionnaire (PART 1) and in Sections A, B, C, E, and F (p<0.0001). For Section D, there was a reduction in scores 6 months after surgery compared to before surgery (p<0.0001).
CONCLUSION
Surgical treatment of endometriosis improves quality of life in several areas assessed by the EHP-30 questionnaire.
目的
本研究旨在评估子宫内膜异位症患者手术治疗前后的生活质量。
方法
采用前瞻性、纵向观察性研究，纳入 102 例盆腔疼痛且临床治疗无效、需要手术治疗的子宫内膜异位症患者。使用 30 项子宫内膜异位症健康状况量表（EHP-30）问卷评估患者手术前后 3 个月和 6 个月的生活质量。使用社会科学统计软件包（SPSS）17.0 版进行统计分析，采用 Friedman 检验。
结果
与手术前相比，手术后 3 个月和 6 个月的 EHP-30 评分均降低，中心问卷（PART 1）和 A、B、C、E 和 F 各部分评分均降低（p<0.0001）。与手术前相比，手术后 6 个月 D 部分评分降低（p<0.0001）。
结论
手术治疗子宫内膜异位症可改善 EHP-30 问卷评估的多个方面的生活质量。
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