对深层子宫内膜异位症和切割的细分直肠切除同样可以改善性功能和疼痛
Fernanda de Almeida Asencio1, Raphael Jose Palhares Fins1, Carolina Kami Mitie2
1Department of Gynaecology Endoscopy, Santa Casa de São Paulo Hospital, São Paulo 01221-010, Brazil.
Clinics and practice
|July 25, 2023
概括
对深层子宫内膜异位症的手术,包括肠切除,并没有对性功能产生负面影响. 疼痛的改善与更好的性功能相关,这表明疼痛管理是患有子宫内膜异位症的妇女的关键.
科学领域:
- 妇科外科手术 妇科外科
- 生殖医学 生殖医学
- 性健康 性的健康
背景情况:
- 之前的研究表明,对于非子宫内膜异位症的迹象,直肠切除后存在显著的性功能障碍.
- 深层子宫内膜异位症往往需要手术干预,可能会影响邻近的器官,如肠道.
研究的目的:
- 为了比较下肠切除和深层子宫内膜异位症的保守切除之间的性功能结果.
- 确定影响子宫内膜异位症患者手术后性功能的因素.
主要方法:
- 对56名患有深层子宫内膜异位症的患者进行前性评估,这些患者接受了下肠切除 (n=33) 或保守切除 (n=23).
- 使用女性性功能指数 (FSFI-19) 和子宫内膜异位症健康概况 (EHP 30) 评估性功能.
- 通过视觉模拟尺度进行疼痛评估;使用单变量和多变量模型进行统计分析.
主要成果:
- 线性切除和肠切除都在FSFI,EHP 30得分和手术后疼痛方面表现出相似的改善.
- 在单变量分析中,术前和术后的疼痛,年龄和手术的持续时间与性功能下降有关.
- 多变量分析表明,手术后的FSFI得分是由手术前的FSFI或手术后的EHP得分预测的.
结论:
- 手术缓解疼痛是改善子宫内膜异位症妇女性功能的一个重要因素.
- 与保守切除相比,深度子宫内膜异位症下肠切除并没有对性功能产生有害影响.
- 像FSFI-6这样的简化问卷可以有效地评估子宫内膜异位症妇女的性功能.
关键词:
EHP 30 30 EHP 30 这是一个很好的方法.在FSFI的FSFI.深度子宫内膜异位症是什么进行子宫内膜异位症外科手术.性功能性功能性功能性功能性功能性功能性功能性功能性性欲性质性质性质性质性质性质性质性质性更多相关视频
12:45Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
5.7K
11:29Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
14.3K
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
171
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
171
Assessment of the Rectum and Anus
278
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
278
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119
