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结直肠子宫内膜异位症女性肠道功能评估:一项横断面研究。

Evaluation of Bowel Function of Women with Colorectal Endometriosis: a Cross-Sectional Study.

机构信息

Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, Alexander Fleming Street 101, Cidade Universitária, Campinas, SP, 13083-881, Brazil.

出版信息

Reprod Sci. 2023 Dec;30(12):3590-3596. doi: 10.1007/s43032-023-01324-7. Epub 2023 Aug 22.

Abstract

The objective was to evaluate bowel function in women with colorectal endometriosis according to treatment type. Cross-sectional study, carried out with 141 women with endometriosis, followed by the University of Campinas from May 2020 to April 2021. Women were divided into 3 groups according to the kind of treatment: 16 women with conservative surgery, 35 women with radical surgery treatment, and 90 women with clinical treatment. The clinical and sociodemographic characteristics of these women were evaluated. To access bowel outcome, we used the following questionnaires: the Bristol Stool Scale, the Bowel Function in the Community, the Gastrointestinal Quality of Life Index (GIQLI), and the Pelvic Floor Distress Inventory (PFDI-20). The mean treatment time was 32.24 ± 29.37 months. The women of the three groups had similar gastrointestinal quality of life index scores (p = 0.27) and pelvic floor distress inventory scores (p = 0.23). Women in the radical surgery group had a higher frequency of evacuatory effort and change in posture to evacuate (p = 0.01 and 0.009, respectively) than did those in the other groups. Women with constipation had worse quality of life and more pain than those without constipation. In conclusion, women with endometriosis treated with radical surgery (segmental resection) had a higher frequency of constipation. In addition, women with endometriosis and constipation had a worse quality of life and higher pain scores compared to those without constipation.

摘要

目的

根据治疗类型评估结直肠子宫内膜异位症女性的肠道功能。这是一项横断面研究,共纳入了 141 名子宫内膜异位症女性,随访时间为 2020 年 5 月至 2021 年 4 月,随访单位为坎皮纳斯大学。根据治疗方法,将这些女性分为 3 组:16 名接受保守手术的女性、35 名接受根治性手术的女性和 90 名接受临床治疗的女性。评估了这些女性的临床和社会人口学特征。为了评估肠道结局,我们使用了以下问卷:布里斯托大便量表、社区肠道功能问卷、胃肠道生活质量指数(GIQLI)和盆底窘迫量表(PFDI-20)。平均治疗时间为 32.24±29.37 个月。三组女性的胃肠道生活质量指数评分(p=0.27)和盆底窘迫量表评分(p=0.23)相似。根治性手术组女性排便用力和改变姿势排便的频率更高(p=0.01 和 0.009)。与无便秘的女性相比,便秘的女性生活质量更差,疼痛更明显。结论:接受根治性手术(节段性切除术)治疗的子宫内膜异位症女性便秘的发生率更高。此外,与无便秘的女性相比,患有便秘的子宫内膜异位症女性生活质量更差,疼痛评分更高。

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