Impact of Endometriosis-Related Adhesions on Quality of Life among Infertile Women
Impact of Endometriosis-Related Adhesions on Quality of Life among Infertile Women
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DOI：
10.22074/ijfs.2019.5572
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发表时间：
2019-04-01
影响因子：
2.5
通讯作者：
Mohamed, Sabah Lotfy
中科院分区：
文献类型：
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作者：
Abd El-Kader, Azza Ibrahim;Gonied, Amina Saad;Mohamed, Sabah Lotfy
背景：子宫内膜异位症被认为是女性盆腔粘连最常见的原因。子宫内膜异位症相关的粘连可导致纤维带的形成，其中包含子宫内膜异位症腺体、基质和疤痕。本研究的目的是确定子宫内膜异位症相关粘连对不孕妇女生活质量的影响。材料和方法：本描述性研究在埃及Zagazig大学医院内窥镜部门进行。109名被诊断为子宫内膜异位症的不孕症妇女作为腹腔镜检查的候选者，获得了参与本研究的口头同意。将患者分为两组：伴有粘连的子宫内膜异位症I组（n=41）和无粘连的子宫内膜异位症II组（n=68）。采用结构化访谈形式、美国生育学会附着力评分法和全球生活质量量表收集所需信息。结果：子宫内膜异位症所致粘连的发生率为37.6%。子宫内膜异位症相关粘连妇女的人口统计学特征与无子宫内膜异位症相关粘连妇女的人口统计学特征无显著差异。子宫内膜异位症最常见的粘连部位是附件粘连（51.2%），其次是前腹壁粘连（24.4%）。子宫内膜异位症相关粘连显著影响患者的生活质量（P=0.002）。结论：所研究的患者有中等程度粘连的比例很高。子宫内膜异位症引起的粘连对研究女性的生活质量有影响。
Background: Endometriosis is considered the most common cause of pelvic adhesions in women. Endometriosis-associated adhesions could result in the formation of fibrous bands, which contain endometriotic glands, stroma and scarring. The aim of this study was to identify the impact of endometriosis-related adhesions on quality of life among infertile women.Materials and Methods: This descriptive study was conducted at Endoscopic Unit, in Zagazig University Hospitals, Egypt. Oral consent for participation in this study was taken from 109 women who were candidates for laparoscopy as infertile cases and were diagnosed with endometriosis. They were classified into two groups namely, group I (n=41) who had endometriosis with adhesions and group II (n=68) who had endometriosis without adhesions. A structured interviewing form, adhesion scoring method of the American Fertility Society, and Global Quality of Life Scale were used to collect required information.Results: The prevalence of adhesions resulted from endometriosis was 37.6%. Demographic characteristics of the women with endometriosis-related adhesions were not significantly different from those of women without endometriosis-related adhesions. The most common location for endometriotic adhesions was adnexal adhesion (51.2%) followed by adhesion of anterior abdominal wall (24.4%). Quality of life was significantly impacted by endometriosis-related adhesions (P=0.002).Conclusion: A high percentage of studied patients had a moderate degree of adhesions. Adhesions caused by endometriosis had an impact on quality of life of the studied women.