在办公室歇斯底里镜术期间的疼痛决定因素:从临床和程序因素的见解:一个为期九年的前性队列研究
Wassan Nori1, Zeena R Helmi1, Rafal M Murshid2
1College of Medicine, Department of Obstetrics and Gynecology, Mustansiriyah University, Baghdad, Iraq.
Journal of Taibah University Medical Sciences
|February 2, 2026
概括
宫内镜术期间的严重疼痛与先前的切割和初级不孕症有关. 识别有风险的患者可以更好地控制疼痛,改善宫镜检查结果.
科学领域:
- 妇科手术程序 妇科手术程序
- 微创手术是最少的侵入性手术.
- 疼痛管理 疼痛管理
背景情况:
- 腹腔镜检查是妇科诊断的一个关键工具.
- 虽然一般耐受性很好,但有些患者会经历严重的疼痛,阻碍了手术.
- 预测疼痛对于患者的舒适性和程序的成功至关重要.
研究的目的:
- 为了确定患者和与手术相关的因素,预测在宫镜检查期间的严重疼痛.
- 开发一种预测模型,用于识别患有高疼痛风险的患者.
- 为了改善患者的接受度,舒适度和胰腺镜检查结果.
主要方法:
- 一项前性队列研究,涉及788名接受透镜检查的患者.
- 收集的数据包括人口统计,生殖史和程序细节.
- 使用视觉模拟尺度量化疼痛.
主要成果:
- 严重的疼痛发生在10.4%的患者中.
- 之前的切除 (OR=3.72) 和初级不育 (OR=2.59) 是严重疼痛的显著预测因素.
- 子宫内膜活检,骨异常和宫狭窄也增加了疼痛的可能性.
结论:
- 患有扩张和切除病史,初级不孕症,子宫内膜活检,宫狭窄或骨异常的患者有较高的严重疼痛风险.
- 识别这些高风险群体可以提供有针对性的程序前咨询.
- 提供替代疼痛管理策略可以提高患者护理和宫镜检查结果.
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