损伤大小和位置在深透肠子内膜异位症:与胃肠功能障碍和疼痛的相关性
Daria Pashkunova1,2, Ezgi Darici3, Birgit Senft4
1Department of Gynecology, Center for Endometriosis, Hospital St. John of God, Vienna, Austria.
Acta obstetricia et gynecologica Scandinavica
|July 23, 2024
概括
这项研究发现,肠子子宫内膜异位症病变的大小或位置与胃肠道问题或疼痛之间没有联系. 然而,邻近区域的子宫内膜异位症显著恶化了痛苦的性交 (失色症).
科学领域:
- 妇科外科手术 妇科外科
- 胃肠病学 胃肠病学
- 子宫内膜异位症研究研究
背景情况:
- 肠道深层透性子宫内膜异位症 (DE) 通常会导致腹和胃肠道症状.
- 不完全理解DE大小,位置 (损伤到门边缘距离 - LAVD) 和症状严重程度之间的相关性.
研究的目的:
- 评估结直肠DE病变大小和LAVD与手术前胃肠道症状之间的相关性.
- 评估其他骨盆区同时出现的ED对症状强度的影响.
主要方法:
- 对151名经期前患者进行前性研究,这些患者在组织学上证实了DE.
- 在手术期间使用#Enzian分类来分类DE的程度.
- 主要结局:病变大小/位置与下前切除综合征 (LARS) 评分之间的相关性.
- 二级结局:与疼痛评分的相关性 (失足症,失精症,失经症).
主要成果:
- 没有发现DE病变大小或LAVD和胃肠功能障碍 (LARS得分) 或疼痛 (腹,经期障碍) 之间有显著的相关性.
- 在重度等级相结合时,DE大小和胃肠道功能障碍之间没有显著的相关性.
- LAVD并没有显著影响肌,肌或肌.
- 同时在阴道/直阴道空间或子宫带/参数体中服用DE并没有改变失经症或失经症的严重程度.
- 同时服用的DE显示出影响肠道功能的趋势 (p=0.078) 并与增加的失精症 (p=0.035) 有显著的关联.
结论:
- 结肠直肠DE大小和LAVD与胃肠功能障碍或更年障碍/更年障碍症严重程度无关.
- 在邻近的骨盆区域增加的DE显著影响了结直肠DE患者的失足症的严重程度.
相关概念视频
Inflammatory Bowel Disease II: Crohn's Disease
208
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
208
Chronic Bowel Disorders: Introduction
436
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
436
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
154
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
154
Inflammatory Bowel Disease I: Ulcerative Colitis
160
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
160
Assessment of the Rectum and Anus
180
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,...
180
Irritable Bowel Syndrome I: Introduction
264
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
264


