抄録
Objective: To examine five types of pelvic pain relief in women with endometriosis after laparoscopic surgery for deep infiltrating endometriosis (DIE)
Patients: A total of 28 patients underwent laparoscopic surgery by lateral approach for DIE between February 2010 and April 2012.
Main outcome measures: VAS levels of their five subjective symptoms.
Results: VAS levels were depicted as follows. The VAS levels of dysmenorrhea were 51±33 (mean ± SD) before surgery, 19±24 at one month post-surgery, and 24±27 at 12 month post-surgery. The VAS levels of non-menses pain were 36±28 before surgery, 17±23 at one month post-surgery, and 19±29 at 12 month post-surgery. The VAS levels of lumbago were 38±28 before surgery, 25±27 at one month post-surgery, and 31±30 at 12 month post-surgery. The VAS levels of dyspareunia were 30±32 before surgery, 9±20 at one month post-surgery, and 11±16 at 12 month post-surgery, The VAS levels of dyschezia were 27±33 before surgery, 8±16 at one month post-surgery , and 9±17 at 12 month post-surgery. The recurrence rates of the five symptoms at 12th months were as follows: dysmenorrhea38%(3/8), non-menses pain3%(1/8), lumbago13%(1/8), dyspareunia13%(1/8) and dyschezia0%(0/8).
Conclusion: The recurrence rates of pelvic pain such as non-menses pain, lumbago, dyspareunia, and dyschezia, were low at the 12th postoperative month following laparoscopic surgery by lateral approach to DIE lesion.These result suggest that recurrence rates of the five types of pelvic pain in women with DIE at the12th post-operative month vary, depending on the type.
