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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >An evaluation of quality of life in women with endometriosis who underwent primary surgery: a 6-month follow up in Sabah Women & Children Hospital, Sabah, Malaysia
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An evaluation of quality of life in women with endometriosis who underwent primary surgery: a 6-month follow up in Sabah Women & Children Hospital, Sabah, Malaysia

机译：对初级外科的子宫内膜异位症女性生活质量评估：在沙巴妇女和儿童医院，马来西亚沙巴妇女医院进行6个月

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摘要

Endometriosis is a complex disease primarily affecting women of reproductive age worldwide. The management goals are to improve the quality of life (QoL), alleviate the symptoms and prevent severe disease. This prospective cohort study was to assess the QoL in women with endometriosis that underwent primary surgery. A pre- and post-operative questionnaire via ED-5Q and general VAS score used for the evaluation for endometrial-like pain such as dysmenorrhoea and dyspareunia. A total of 280 patients underwent intervention; 224 laparoscopically and 56 via laparotomy mostly with stage II disease with ovarian endometriomas. Improvements in dysmenorrhoea pain scores from 5.7 to 4.15 and dyspareunia from 4.05 to 2.17 (p <.001) were observed. The Self Rate Assessment was improved; 6.66-4.68 post-operatively (p < .05). In EQ-5 D Index, the anxiety and activities outcomes showed a significant worsening post-intervention. There was no correlation between the stage of disease and endometrial pain; (p = .289), method of intervention (p = .290) and usage of post-operative hormonal therapy (p = .632). This study concluded that surgical treatment improved the QoL with added hormonal therapy post-intervention, despite not reaching statistical significance, showed a promising result.
机译：子宫内膜异位症是一种复杂的疾病，主要影响全世界生殖年龄的妇女。管理目标是提高生活质量（QOL），缓解症状并防止严重疾病。该潜在的队列研究是评估患有子宫内膜异位症的女性的QoL，介绍初级手术。通过ED-5Q和术后术后调查问卷和用于评估子宫内膜样疼痛，如痛经和疑难厄厄的评估。共有280名患者干预; 224腹腔镜和56次通过剖腹手术，主要是患有卵巢子宫内膜异构瘤的II阶段疾病。观察到痛经疼痛评分从5.7到4.15和4.05到2.17的呼吸困难分数（p <.001）。自息评估得到改善;可操作性6.66-4.68（P <.05）。在EQ-5 D指数中，焦虑和活动结果表明干预后的显着恶化。疾病和子宫内膜疼痛之间没有相关性; （p = .289），干预方法（p = .290）和术后荷尔蒙治疗的使用（p = .632）。本研究得出结论，外科治疗改善了滋养症的QOL后期疗法，尽管没有达到统计显着性，但表现出了有希望的结果。

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