Relation between pain symptoms and the anatomic location of deep infiltrating endometriosis
Relation between pain symptoms and the anatomic location of deep infiltrating endometriosis
复制标题
DOI：
10.1016/s0015-0282(02)03331-9
复制
发表时间：
2002-10-01
影响因子：
6.7
通讯作者：
Bréart, G
中科院分区：
文献类型：
--
作者：
Fauconnier, A;Chapron, C;Bréart, G
目的：为了研究特定类型的盆腔疼痛是否与深度浸润性子宫内膜异位症（DIE）的解剖位置相关。设计：回顾性数据分析。设置：大学三级转诊中心。患者：225名有盆腔疼痛症状和DIE的妇女。干预：在手术过程中，我们记录了DIE植入物和相关子宫内膜异位症的解剖位置。主要结果测量：我们研究了盆腔疼痛症状的发生率，包括严重痛经、深度性交困难、非周期性慢性盆腔疼痛、月经期间排便疼痛、尿路症状和胃肠道症状与DIE. Results：重度痛经的发生率随着道格拉斯囊粘连的增加而增加，随着产次的增加而减少。性交困难的频率随着子宫骶韧带DIE位置的增加而增加，当涉及膀胱时则减少。非周期性慢性盆腔疼痛的发生率在累及肠道时较高，而在接受不孕症治疗的女性中较低。当DIE涉及阴道时，月经期间排便疼痛的频率更高;当DIE涉及膀胱时，下尿路症状更频繁，而体重指数较低的女性更少。结论：盆腔疼痛的类型与DIE的解剖位置有关。了解盆腔疼痛症状的特点对疑似DIE患者的术前评估非常重要。
Objective: To investigate whether specific types of pelvic pain are correlated with the anatomic locations of deeply infiltrating endometriosis (DIE).Design: Retrospective data analysis.Setting: University tertiary referral center.Patient(s): Two hundred and twenty-five women with pelvic pain symptoms and DIE.Intervention(s): During surgery, we recorded the anatomic locations of DIE implants and associated endometriosis.Main Outcome Measure(s): We studied the incidence of pelvic pain symptoms including severe dysmenorrhea, deep dyspareunia, noncyclic chronic pelvic pain, painful defecation during menstruation, urinary tract symptoms, and gastrointestinal symptoms as related to the location of DIE.Result(s): The frequency of severe dysmenorrhea increased with Douglas pouch adhesions and decreased with parity. The frequency of dyspareunia increased with a uterosacral ligament DIE location and decreased when it involved the bladder. The frequency of noncyclic chronic pelvic pain was higher when it involved the bowel and was lower for women who were treated for infertility. The frequency of painful defecation during menstruation was higher when DIE involved the vagina; lower urinary tract symptoms were more frequent when DIE involved the bladder and less frequent in women with a lower body mass index. Gastrointestinal symptoms were associated with bowel or vaginal DIE locations.Conclusion(s): The types of pelvic pain are related to the anatomic location of DIE. Knowledge of the characteristics of pelvic pain symptoms is important in the preoperative assessment of patients with suspected DIE.