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The Effect of Anterior Uterocervical Angle on Primary Dysmenorrhea and Disease Severity

机译:前卵闭角对原发性痛经和疾病严重程度的影响

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Background. Primary dysmenorrhea, defined as painful menstrual cramps originating in the uterus without underlying pathology, is a gynecological disease that affects quality of life and school success. Our goal was to determine the effect of anterior uterocervical angle on primary dysmenorrhea and disease severity. Methods. A total of 200 virgin adolescents, 16 to 20 years of age, were included in the study. The Andersch and Milsom scale was used to determine dysmenorrhea severity. Those with pathologies causing secondary dysmenorrhea were excluded from the study. Study subjects were grouped based on severity of pain. Demographic characteristics and uterocervical ultrasonographic measurements were compared among groups. Results. Of the 200 participants enrolled in the study, 50 were healthy controls and 150 had primary dysmenorrhea. Those with primary dysmenorrhea had a significant family history of primary dysmenorrhea compared with controls (P<0.001). Age (P=0.668), body mass index (P=0.898), menarche age (P=0.915), and length of menstrual cycles (P=0.740) were similar in all groups. The uterine corpus longitudinal axis, uterine corpus transverse axis, and uterine cervix longitudinal axis were also similar (P=0.359, P=0.279, and P=0.369, resp.). The mean uterocervical angle was 146.8?±?6.0 in controls and 143.3?±?7.3 in those with mild pain with no significant difference between the groups. In those with moderate pain, the mean uterocervical angle was 121.2?±?7.3 compared with 101?±?9.2 in those with severe pain, which was a significant difference. Additionally, there was also a significant difference in the uterocervical angle among those with mild, moderate, and severe pain (P<0.001). Conclusion. Our results indicate that a narrower anterior uterocervical angle is associated with primary dysmenorrhea and disease severity.
机译:背景。主要痛经被定义为源自子宫的痛苦的月经痉挛,没有潜在的病理,是一种影响生活质量和学校成功的妇科疾病。我们的目标是判断前闭塞角度对原发性痛经和疾病严重程度的影响。方法。在研究中,共有200名50岁的青年青少年,16至20岁。 Andersch和MILSOM规模用于确定痛经严重程度。那些引起继发性痛经的病理被排除在研究之外。基于疼痛的严重程度分组研究受试者。在群体中比较了人口特征和Utercercercical超声测量。结果。在参加该研究的200名参与者中,50名是健康的对照,150名患有原发性痛经。与对照组相比,患有原发性痛经的人具有重要的家族病史(P <0.001)。年龄(p = 0.668),体重指数(p = 0.898),月卷年龄(p = 0.915)和月经周期长度(p = 0.740)在所有组中相似。子宫纵向轴,子宫核心横轴和子宫子宫颈纵向轴也相似(P = 0.359,P = 0.279,P = 0.369,REAC。)。在对照中的平均子宫颈角度为146.8?6.0,143.3?7.3在那些中,疼痛无明显差异。在中等疼痛的那些中,平均子宫颈角度为121.2?±7.3与疼痛严重疼痛的101°?9.2。另外,疼痛温度,中度和严重疼痛中的子宫颈角度也存在显着差异(P <0.001)。结论。我们的结果表明,较窄的前胞间闭塞角与原发性痛经和疾病严重程度有关。

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