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在MRKH的骨盆和泛性持续疼痛综合征的经验:一个范围审查

R U Gaikaiwari¹, C Prinsloo¹, S R Grover²

¹James Cook University, Cairns, Queensland, Australia.

Journal of pediatric and adolescent gynecology

|July 22, 2024

概括

梅耶 - 罗基坦斯基 - 库斯特 - 豪泽综合征 (MRKH) 与盆腔疼痛有关,特别是那些有子宫残留的患者的周期性疼痛. 对于理解MRKH患者没有残留和普遍性持续性疼痛综合征的疼痛,存在研究缺口.

科学领域:

生殖医学生殖医学
疼痛综合征疼痛综合征
医学遗传学医学遗传学

背景情况:

梅耶-罗基坦斯基-库斯特-豪瑟综合征 (MRKH) 涉及子宫和阴道的先天性缺失,可能伴有其他异常.
在患有MRKH综合征的个体中,关于盆腔疼痛和相关疼痛综合征的研究有限.

研究的目的:

对MRKH的骨盆和一般性持续性疼痛综合征进行现有文献的范围审查.
为了确定MRKH疼痛管理的未来研究方向的知识差距.

主要方法:

根据乔安娜·布里格斯研究所框架进行范围审查.
在多个数据库 (MEDLINE,CINAHL,Scopus,Cochrane,Embase,Emcare) 搜索相关的文章.
数据分析涉及描述和分析方法,对选定的文章进行双重独立审查.

主要成果:

39篇文章描述了1353例MRKH病例,在选了3348篇文章后,符合纳入标准.
四项研究报告了基线骨盆疼痛,19项描述了急性表现,13项详细介绍了MRKH患者的干预后疼痛水平.

结论:

周期性盆腔疼痛在有子宫残留的MRKH患者中更常见; 没有残留的患者的疼痛是不太了解的.
没有研究在MRKH人群中解决了普遍性持续性疼痛综合征.
需要进一步进行横截面研究,以确定MRKH中疼痛综合征的患病率和严重程度.

关键词:

纤维肌痛是一种纤维肌痛.在MRKH中,MRKH是MRCH.疼痛疼痛疼痛疼痛盆腔疼痛盆腔疼痛盆腔疼痛盆腔疼痛子宫发育的发生.阴道发育的发生.

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