骨盆器官脱落相关的疼痛的特征:手术是解决问题的方法吗?
Angela S Yuan1, Cecile A Ferrando2, Lisa C Hickman3
1From Trinity Health of New England, Hartford, CT.
Urogynecology (Philadelphia, Pa.)
|January 11, 2024
概括
骨盆器官脱落 (POP) 可以导致超过13%的女性疼痛. 在70%的病例中,手术有效地解决了这种疼痛,在手术后没有报告恶化.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 盆地底疾病 盆地底疾病
- 外科手术的结果
背景情况:
- 骨盆器官脱落 (POP) 是一种常见的女性疾病.
- 关于POP相关疼痛发生率和特征的数据有限.
- 了解与POP相关的疼痛对于患者管理至关重要.
研究的目的:
- 确定POP患者疼痛的发生率和特征.
- 评估手术干预在缓解POP相关疼痛方面的有效性.
- 为了确定与POP相关的疼痛相关的因素.
主要方法:
- 对795名被评估为POP的患者进行了回顾性研究.
- 标准化问卷用于评估疼痛的存在,严重程度和位置.
- 手术后的随访以确定手术后的疼痛缓解.
主要成果:
- 13.3%的患者报告了与POP相关的疼痛.
- 平均疼痛严重程度为5/10,通常位于阴道,下腹部和背部.
- 经过手术的70.2%的患者报告说,POP相关的疼痛已经消失.
结论:
- 疼痛是超过每8名POP妇女中1名以上的显着症状.
- 手术治疗为POP相关的疼痛提供了很高的疼痛缓解率.
- 对风险因素和非手术治疗的进一步研究是有必要的.
相关概念视频
Appendicitis-I: Introduction
163
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
163
Inflammatory Bowel Disease V: Surgical Management
147
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:
147
Peptic Ulcer Disease V: Surgical Management and Nursing Care
306
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
306
Abdominal Regions and Quadrants
8.2K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
8.2K
Analgesia and Pain Management
625
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
625
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
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...
88


