空军军医大学学报2024，Vol.45Issue(8)：920-924,5.DOI:10.13276/j.issn.2097-1656.2024.08.015
子宫内膜异位症患者腹腔镜手术后不同分型对消化功能的影响
Effects of different types of endometriosis on digestive function after laparoscopic surgery
摘要
Abstract
Objective To explore the impact of laparoscopic surgery on digestive function in patients with different clinicopathological types of endometriosis(EMs).Methods Clinical data were collected from 115 patients diagnosed with EMs by laparoscopy from December 2018 to December 2022.According to the clinicopathological classification,the patients were divided into peritoneal endometriosis(PEM)group(n=35),ovarian endometrioma(OMA)group(n=37),and deep infiltrating endometriosis(DIE)group(n=43).General patient information was collected,and pain conditions were assessed using Visual Analogue Scale(VAS)at 6 and 12 months after surgery.Postoperative changes in digestive function were compared among the three groups using Gastrointestinal Quality of Life Index(GIQLI)and Knowles-Eccersley-Scott Symptom Questionnaire(KESS).Results The three groups of subjects showed no significant differences in general information,ensuring comparability.The operative time of OMA group was significantly longer than that of PEM group,while the operative time,blood loss,and hospital stay of DIE group were significantly higher than those of the other two groups(P＜0.01).In the DIE group,88.37％of patients underwent intestinal surgery,which was significantly higher than that in the other two groups(P＜0.01).The incidence of postoperative complications was low in the three groups,with no statistical significance(P＞0.05).The DIE group had lower preoperative GIQLI scores and higher KESS scores,indicating poorer gastrointestinal function.Postoperative GIQLI and KESS scores in the DIE group were significantly different from the other two groups(P＜0.01).There were no significant differences in VAS scores among the three groups before and 12 months after surgery,but the DIE group showed significantly lower GIQLI and KESS scores at 1 year after surgery compared with the PEM and OMA groups(P＜0.01).Conclusion EMs patients with different clinicopathological types exhibit differences in digestive function after laparoscopic surgery,and the digestive function of DIE group is the most severely impaired,requiring more attention and intervention.关键词
子宫内膜异位症/慢性盆腔疼痛/腹腔镜手术/胃肠道生活质量指数/诺尔斯-爱克斯里-斯科特症状量表Key words
endometriosis/chronic pelvic pain/laparoscopic surgery/Gastrointestinal Quality of Life Index/Knowles-Eccersley-Scott Symptom Questionnaire分类
医药卫生引用本文复制引用
吴王飞,夏舒羽..子宫内膜异位症患者腹腔镜手术后不同分型对消化功能的影响[J].空军军医大学学报,2024,45(8):920-924,5.基金项目
苏州市科技计划项目(230301) （230301）
江苏省卫生健康委员会科技项目(H2016221) （H2016221）
