共 41 条
[41]
Ware JE, 2004, KOSINSKI M SF36 PHYS
Pelvic Pain and Quality of Life Before and After Laparoscopic Bowel Resection for Rectosigmoid Endometriosis: A Prospective, Observational Study
被引：34
作者：
Riiskjaer, Mads
[1
]
Forman, Axel
[1
]
Kesmodel, Ulrik S.
[2
]
Andersen, Lars M.
[3
]
Ljungmann, Ken
[4
]
Seyer-Hansen, Mikkel
[1
]
机构：
[1] Aarhus Univ Hosp, Dept Obstet & Gynecol, Palle Juul Jensens Blvd 99, DK-8200 Aarhus N, Denmark
[2] Herlev Univ Hosp, Dept Obstet & Gynecol, Copenhagen, Denmark
[3] Randers Reg Hosp, Dept Surg, Randers, Denmark
[4] Aarhus Univ Hosp, Dept Surg, Aarhus, Denmark
关键词：
Bowel resection;
Laparoscopy;
Pelvic pain;
Quality of life;
Rectosigmoid endometriosis;
DEEP INFILTRATING ENDOMETRIOSIS;
CUMULATIVE PREGNANCY RATE;
LOW ANTERIOR RESECTION;
COLORECTAL RESECTION;
RECTAL ENDOMETRIOSIS;
SEGMENTAL RESECTION;
SURGICAL-TREATMENT;
CLINICAL-TRIALS;
DISC EXCISION;
SURGERY;
D O I：
10.1097/DCR.0000000000000970
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
BACKGROUND: Surgery for rectosigmoid endometriosis carries a substantial risk of short-and long-term complications, which has to be counterbalanced against the potential effect of the procedure. Prospective data are scarce in the field of deep infiltrating endometriosis surgery. OBJECTIVE: The study aimed to assess pelvic pain and quality of life before and after laparoscopic bowel resection for rectosigmoid endometriosis. DESIGN: The study involved prospectively collected data regarding pelvic pain and quality of life before and after surgery. SETTINGS: It was conducted at a tertiary endometriosis referral unit at Aarhus University Hospital. PATIENTS: A total of 175 women were included. INTERVENTION: Patients underwent laparoscopic bowel resection for endometriosis. MAIN OUTCOME MEASURES: Questionnaires for pain (Numerical Rating Scale) and quality of life (RAND Short Form-36) were answered before and 1 year after surgery. Data on analgesic and hormone treatment were collected. Preoperative and postoperative pelvic pain and quality-of-life scores were compared, and risk factors for improvement/worsening were identified. RESULTS: A total of 97.1% of the women completed the 1-year follow up. A significant decrease (p = 0.0001) was observed on all pelvic pain parameters. Most profound was the decrease in dyschezia. A significant improvement on all quality-of-life scores was observed (p = 0.0001). A surgical complication did not have a negative impact on outcome 1 year after surgery. The postoperative outcome was not related to the type of surgery. LIMITATIONS: This is an observational study without a control group. Risk factor data should be interpreted with caution, because the study was relatively underpowered for some of the rare outcomes. CONCLUSIONS: A significant and clinically relevant improvement in pelvic pain and quality of life 1 year after laparoscopic bowel resection for endometriosis was found. We strongly recommend surgery for rectosigmoid endometriosis that is unresponsive to conservative treatment.
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页码：221 / 229
页数：9
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