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

作　　者：吴王飞[1] 夏舒羽 WU Wangfei;XIA Shuyu(Department of Pathology,Women's Hospital of Nanjing Medical University,Nanjing Women and Children's Healthcare Hospital,Nanjing 210004,China;Department of Obstetrics and Gynecology,Suzhou Xiangcheng People's Hospital,Suzhou 215131,China)

机构地区：[1]南京医科大学附属妇产医院,南京市妇幼保健院病理科,江苏南京210004 [2]苏州市相城人民医院妇产科,江苏苏州215131

出　　处：《空军军医大学学报》2024年第8期920-924,共5页Journal of Air Force Medical University

基　　金：苏州市科技计划项目(230301);江苏省卫生健康委员会科技项目(H2016221)。

摘　　要：目的探讨不同临床病理分型子宫内膜异位症(EMs)患者腹腔镜术后消化功能的影响。方法收集2018年12月至2022年12月期间115例腹腔镜诊断为EMs患者的临床资料,根据患者临床病理分型将患者分为腹膜型内异症(PEM)组(n=35)、卵巢内异症(OMA)组(n=37)、深部浸润型内异症(DIE)组(n=43)。收集患者一般资料,通过视觉模拟评分(VAS)评估所有患者术后6个月和12个月疼痛情况,并通过胃肠道生活质量指数(GIQLI)和诺尔斯爱克斯里斯科特症状量表(KESS)比较3组术后消化功能变化情况。结果3组研究对象在一般资料方面无显著差异,具有可比性。OMA组的手术时间显著长于PEM组,而DIE组的手术时间、出血量和住院时间均显著高于其他两组(P<0.01)。DIE组有88.37%的患者接受肠道手术,显著高于其他两组(P<0.01)。3组患者术后并发症发生率较低,无统计学意义(P>0.05)。DIE组在术前GIQLI评分较低,KESS评分较高,表明其胃肠功能较差。术后GIQLI评分和KESS评分相比于其他两组,差异有统计学意义(P<0.01)。3组患者术前和术后12月的VAS得分无显著差异,但DIE组在术后1年的GIQLI评分和KESS评分显著低于PEM组和OMA组(P<0.01)。结论不同临床病理分型的EMs患者腹腔镜术后消化功能存在差异,DIE组的消化功能受损最严重,需要更多的关注和干预。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 D

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 

分 类 号：R713.4[医药卫生—妇产科学]