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腹腔镜内膜异位症与子宫切除手术后的疼痛:回顾性队列分析

Yael Yagur¹, Offra Engel¹, Rachel Burstein¹

¹Meir Medical Center, Department of Obstetrics and Gynecology, Affiliated with the Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

|October 4, 2024

概括

经过子宫内膜异位症手术的女性在术后使用的吗啡量超过了切除子宫的患者,尽管疼痛得分相似. 这表明,对于子宫内膜异位症患者来说,需要量身定制的疼痛管理.

科学领域:

妇科妇科妇科妇科
手术疼痛管理手术疼痛管理
子宫内膜异位症研究研究

背景情况:

子宫内膜异位症显著影响妇女的生活质量.
腹腔镜手术是对子宫内膜异位症的常见治疗方法.
术后疼痛管理对于手术恢复至关重要.

研究的目的:

为了比较术后疼痛感知和止痛药的使用.
为了评估经历了子宫内膜异位症特异性腹腔镜手术和腹腔镜子宫切除术的患者的疼痛.

主要方法:

200名女性的回顾性队列研究 (100名子宫内膜异位症,100名子宫切除术).
视觉模拟量表 (VAS) 疼痛评分和止痛剂要求的比较.
分析了标准止痛药 (黄,迪克洛菲纳克) 和额外止痛药 (吗啡,二皮龙) 的使用情况.

主要成果:

在手术后的VAS疼痛平均得分中,两组之间没有显著差异.
子宫内膜异位症组在术后第一天使用阿片类药物 (吗啡) 的比例较高.
子宫内膜异位症患者较年轻,平价率较低 (p<0.001).

结论:

患有子宫内膜异位症的患者需要增加术后吗啡,尽管报告的疼痛水平相似.
研究结果表明,对于子宫内膜异位症患者来说,需要个性化疼痛管理策略.
标准的疼痛方案可能不足以控制子宫内膜异位症的术后疼痛.

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