Clinical analysis of efficacy and quality of life of segmental bowel resection for bowel endometriosis
10.3760/cma.j.issn.0529-567x.2016.07.005
- VernacularTitle:节段性肠切除术治疗肠道子宫内膜异位症患者的临床疗效及生命质量分析
- Author:
Duo LIU
;
Huimin SHEN
;
Yanchun LIANG
;
Wei WANG
;
Tianyu LIU
;
Chunliang SHANG
;
Shuzhong YAO
- Publication Type:Journal Article
- Keywords:
Endometriosis;
Intestinal diseases;
Digestive system surgical procedures;
Pain;
Quality of life
- From:
Chinese Journal of Obstetrics and Gynecology
2016;51(7):503-508
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and quality of life of segmental bowel resection for bowel endometriosis. Methods Totally 62 symptomatic patients with bowel endometriosis undergoing segmental bowel resection were recruited. A visual analogue scale (VAS) and the 36-item short form health survey (SF-36) questionnaire were administered before and at least 1 year after surgery, respectively. Pregnancy rates were also recorded. Results Sixty-two patients in total underwent follow-up ranging from 12 to 74 months. All patients complained of obvious pain symptoms, including dysmenorrhea, dyspareunia, pain on defecation and chronic pelvic pain. The relief of dysmenorrhea (2.9 ± 2.2 versus 7.5 ± 2.9), dyspareunia (0.7 ± 0.5 versus 4.3 ± 2.2) and pain on defecation (1.6 ± 0.7 versus 7.3 ± 1.9) after surgery was statistically significant (all P<0.01). The scores for all 8 domains of the SF-36 questionnaire were significant improved after segmental bowel resection (all P<0.01). The complication rate was 45% (28/62), including 18 cases of urinary retention, 4 rectovaginal fistulas, 2 cases of vaginal dehiscence, and 1 case each of thrombogenesis, pelvic abscess and general peritonitis. All of the patients with complications recovered well throughout follow-up. The postoperative pregnancy rate of the previous infertile patients was 6/10. Among the 6 gestational cases, 2 had labour, 2 underwent caesarean sections, one had a spontaneous natural abortion, and one underwent uterine curettage. Conclusion Segmental bowel resection could significantly relieve pain and improve quality of life for patients with bowel endometriosis.
