评估患有结直肠内膜异位症的妇女的肠功能:一个横截面研究
Nara Abe Cairo Villa1, Cristina Laguna Benetti-Pinto1, Daniela Angerame Yela2
1Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, Alexander Fleming Street 101, Cidade Universitária, Campinas, SP, 13083-881, Brazil.
结直肠子宫内膜异位症的彻底手术增加了便秘. 患有子宫内膜异位症和便秘的女性报告说,生活质量更差,疼痛更大.
科学领域:
- 妇科 妇科医生 妇科
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 子宫内膜异位症是一种慢性疾病,影响生殖年龄的女性.
- 结直肠子宫内膜异位症显著影响肠道功能和生活质量.
- 子宫内膜异位症的治疗策略各不相同,可能会影响胃肠道结果.
研究的目的:
- 根据他们的治疗方式,评估和比较患有结直肠子宫内膜异位症的女性的肠功能.
- 为了识别与不同的子宫内膜异位症治疗相关的特定肠道症状.
- 评估便秘对子宫内膜异位症妇女生活质量的影响.
主要方法:
- 一项涉及141名患有子宫内膜异位症的妇女的横截面研究.
- 参与者被分为保守手术,激进手术 (细分切除) 和临床治疗组.
- 肠功能使用验证的问卷进行评估:布里斯托尔便量表,社区肠功能,GIQLI和PFDI-20.
主要成果:
- 经过彻底手术的女性报告说,在排便过程中排泄力和姿势变化的频率更高.
- 在治疗组之间没有观察到整体胃肠道生活质量或盆底痛苦得分的显著差异.
- 便秘与明显恶化的生活质量和增加的疼痛水平有关.
结论:
- 结直肠子宫内膜异位症的彻底手术与更高的便秘发病率有关.
- 患有子宫内膜异位症的女性的便秘会对他们的生活质量和疼痛感知产生负面影响.
- 需要量身定制的管理策略来解决子宫内膜异位症患者的肠道功能障碍.
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