Relationship between pain symptoms and clinico-pathological features of pelvic endometriosis

冷金花, 郎景和, 戴毅, 李华军, 李晓燕
In: Chin J Obstet Gynecol · 2007 · vol. 42(03) , pp. 165–168 · doi:10.3760/j.issn:0529-567x.2007.03.006 · W3032566839
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This study evaluated pain symptoms in 130 endometriosis patients and found relationships between dysmenorrhea, chronic pelvic pain, dyspareunia, and dyschezia with the location, depth, and involvement of pelvic lesions.

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This study investigated the association between pain symptoms and the anatomical distribution of pelvic lesions in 130 patients with endometriosis diagnosed via laparoscopy. The researchers recorded the prevalence of dysmenorrhea, chronic pelvic pain, dyspareunia, and defecation pain, then correlated these symptoms with specific lesion locations such as deep uterosacral ligament nodules and the rectovaginal septum. Key findings indicated that dysmenorrhea and chronic pelvic pain were significantly associated with a higher proportion of deep infiltrating endometriosis and obliteration of the pouch of Douglas, while vaginal rectal septum nodules served as an independent risk factor for dyspareunia. The paper is centrally about endometriosis — specifically analyzing how the location and depth of pelvic lesions correlate with various types of pain symptoms in affected patients.

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Abstract

目的 研究子宫内膜异位症(内异症)患者疼痛症状与盆腔病灶解剖分布特点的关系.方法 详细记录130例内异症患者痛经、慢性盆腔痛(CPP)、性交痛及排便痛的发生情况.以腹腔镜检查为诊断标准.评价疼痛症状包括痛经、CPP、性交痛及排便痛与盆腔内不同部位内异症病灶的关系.结果 130例内异症患者中,痛经100例(76.9%),无痛经30例(23.1%).轻、中度和重度痛经者分别为27例(20.8%)、41例(31.5%)、32例(24.6%),性交痛46例(35.4%),CPP 45例(34.6%),排便痛67例(51.5%).痛经者深部宫骶韧带结节、阴道直肠隔结节发生率分别为45.0%、16.0%,无痛经者深部宫骶韧带结节、阴道直肠隔结节发生率为13.3%、0,两者分别比较,差异均有统计学意义(P=0.00、P=0.01);痛经者与无痛经者比较,子宫直肠窝封闭的比例增加(分别为41.0%、10.0%,P=0.00),深部浸润型内异症(DIE)比例增加(分别为51.0%、16.7%,P=0.00).痛经程度与宫骶韧带结节的数目(P=0.005,r=0.302)、宫骶韧带结节浸润深度(P=0.017,r=0.227)呈线性相关.痛经伴卵巢内异症囊肿患者中,发生中、重度盆腔粘连的比例增加(分别为29.1%、8.3%,P=0.029).与无CPP的患者比较,CPP患者深部宫骶韧带结节(分别为51.1%、30.6%,P=0.018)以及DIE(分别为57.8%、35.3%,P=0.011)比例明显升高.与无排便痛的患者比较,排便痛患者深部宫骶韧带结节(分别为46.3%、28.6%,P=0.028)、阴道直肠隔结节(分别为19.4%、4.8%,P=0.01)、子宫直肠窝封闭(分别为44.8%、22.2%,P=0.005)以及DIE(分别为53.7%、31.7%,P=0.01)的比例升高.阴道直肠隔结节是性交痛的独立危险因素(OR=3.61).结论 痛经、CPP、性交痛以及排便痛与盆腔内异症病灶的部位和浸润深度有关,位于盆腔后部的深部浸润病灶以及子宫直肠窝封闭与疼痛症状关系密切。
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子宫内膜异位症患者疼痛与盆腔病灶解剖分布的关系 Relationship between pain symptoms and clinico-pathological features of pelvic endometriosis 摘要目的 研究子宫内膜异位症(内异症)患者疼痛症状与盆腔病灶解剖分布特点的关系.方法 详细记录130例内异症患者痛经、慢性盆腔痛(CPP)、性交痛及排便痛的发生情况.以腹腔镜检查为诊断标准.评价疼痛症状包括痛经、CPP、性交痛及排便痛与盆腔内不同部位内异症病灶的关系.结果 130例内异症患者中,痛经100例(76.9%),无痛经30例(23.1%).轻、中度和重度痛经者分别为27例(20.8%)、41例(31.5%)、32例(24.6%),性交痛46例(35.4%),CPP 45例(34.6%),排便痛67例(51.5%).痛经者深部宫骶韧带结节、阴道直肠隔结节发生率分别为45.0%、16.0%,无痛经者深部宫骶韧带结节、阴道直肠隔结节发生率为13.3%、0,两者分别比较,差异均有统计学意义(P=0.00、P=0.01);痛经者与无痛经者比较,子宫直肠窝封闭的比例增加(分别为41.0%、10.0%,P=0.00),深部浸润型内异症(DIE)比例增加(分别为51.0%、16.7%,P=0.00).痛经程度与宫骶韧带结节的数目(P=0.005,r=0.302)、宫骶韧带结节浸润深度(P=0.017,r=0.227)呈线性相关.痛经伴卵巢内异症囊肿患者中,发生中、重度盆腔粘连的比例增加(分别为29.1%、8.3%,P=0.029).与无CPP的患者比较,CPP患者深部宫骶韧带结节(分别为51.1%、30.6%,P=0.018)以及DIE(分别为57.8%、35.3%,P=0.011)比例明显升高.与无排便痛的患者比较,排便痛患者深部宫骶韧带结节(分别为46.3%、28.6%,P=0.028)、阴道直肠隔结节(分别为19.4%、4.8%,P=0.01)、子宫直肠窝封闭(分别为44.8%、22.2%,P=0.005)以及DIE(分别为53.7%、31.7%,P=0.01)的比例升高.阴道直肠隔结节是性交痛的独立危险因素(OR=3.61).结论 痛经、CPP、性交痛以及排便痛与盆腔内异症病灶的部位和浸润深度有关,位于盆腔后部的深部浸润病灶以及子宫直肠窝封闭与疼痛症状关系密切. 更多相关知识 - 浏览0 - 被引107 - 下载0 相似文献 - 中文期刊 - 外文期刊 - 学位论文 - 会议论文

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