Mapping the source and character of pain due to endometriosis by patient-assisted laparoscopy
Mapping the source and character of pain due to endometriosis by patient-assisted laparoscopy
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DOI：
10.1016/s1074-3804(98)80026-1
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发表时间：
1998-08-01
期刊：
影响因子：
--
通讯作者：
Demco, L
中科院分区：
文献类型：
--
作者：
Demco, L
研究目的：通过患者辅助腹腔镜检查（PAL）确定子宫内膜异位症病变与盆腔疼痛的关系。
设计：前瞻性非随机研究（加拿大工作组分类II - 1）。
机构：大学附属机构。
患者：50名子宫内膜异位症女性。
干预措施：检查子宫内膜异位症病变的颜色和大小，并绘制这些区域与疼痛的关系图。
测量及主要结果：对所有颜色和形状类别的病变进行触诊。在确实引起疼痛反应的病变中，红色和血管性病变最痛，其次是透明和白色瘢痕病变，黑色病变疼痛最轻。疼痛可延伸至外观正常的腹膜，最远达27毫米，但与病变类型不一致。
结论：子宫内膜异位症的疼痛与病变的位置或颜色关系不大。它可延伸至可见病变之外的正常腹膜。通过PAL获取患者的反馈对于实现成功治疗以及避免过度手术和风险可能至关重要。
Study Objective, To determine by patient-assisted laparoscopy (PAL) the relationship of lesions of endometriosis to pelvic pain.Design. Prospective non-randomized study (Canadian Task Force classification II-1).Setting University based facilityPatients, Fifty women with endometriosis.Intervention, Lesions of endometriosis were examined as to color and size, and these areas were mapped for pain.Measurements and Main Results, Lesions in all categories of colors and shapes were palpated. In lesions that did provoke a pain response, red and vascular lesions were most painful, followed by clear and white scar lesions. Least painful were black lesions. Pain extended beyond lesions to normal-looking peritoneum for up to 27 mm, but was not consistent with respect to type of lesion.Conclusion. Pain of endometriosis has little relationship to location or color of lesions. It can extend beyond visible lesions to normal peritoneum. Input from patients by PAL may be essential to achieve successful therapy and eliminate excessive surgery and risk.