Is there a relationship between symptoms and types of endometriosis according to #ENZIAN? A comparative study of preoperative questionnaires.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Elvin Piriyev, Clara Mennicken, Sven Schiermeier, Thomas Römer
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引用次数: 0

Abstract

Objective: The primary objective was to evaluate the relationship between these three groups and digestive symptoms. The secondary objective was to evaluate all symptoms in all groups.

Study design: It was a retrospective comparative analysis of preoperative questionnaires. Three groups of patients were compared: Group 1 Patients with only peritoneal endometriosis ± adnexal adhesions and adenomyosis (P ± T and FA), Group 2 Patients with DIE, excluding the digestive system, and/or cystic ± peritoneal and adnexal adhesions and adenomyosis (O, A, B ± P, T, and FA), Group 3 Patients with DIE of the digestive system (C, FI) ± other localizations.

Results: This retrospective study of 233 preoperative questionnaires explored symptom profiles across #ENZIAN-classified endometriosis types. No overall symptom differences were found, but severe dyschezia (VAS ≥ 5) correlated with bowel involvement (C compartment), dyspareunia corelated with adenomyosis (FA compartment), and chronic pelvic pain was lower in bowel DIE (Group 3) than in peritoneal/ovarian groups. Symptom questionnaires may guide surgical referral despite imaging limitations.

Conclusion: While these imaging modalities can help identify DIE and endometriomas, they are less effective in detecting superficial peritoneal lesions, which can also cause significant symptoms. For this reason, even though symptom questionnaires are not definitive diagnostic tools, they may serve as an important starting point for further investigation and referral for surgical evaluation.

根据ENZIAN,子宫内膜异位症的症状和类型之间是否存在关系?术前问卷的比较研究。
目的:主要目的是评价这三组患者与消化道症状的关系。次要目的是评估所有组的所有症状。研究设计:对术前问卷进行回顾性比较分析。比较三组患者:1组仅腹膜子宫内膜异位症患者±附件粘连和子宫腺肌症(P±T和FA), 2组不包括消化系统和/或囊性死亡患者±腹膜和附件粘连和子宫腺肌症(O, A, B±P, T和FA), 3组消化系统死亡患者(C, FI)±其他定位。结果:这项对233份术前问卷的回顾性研究探讨了# enzian分类的子宫内膜异位症类型的症状概况。总体症状无差异,但严重的精神障碍(VAS≥5)与肠受累(C室)相关,性交困难与子宫腺肌症(FA室)相关,慢性盆腔疼痛在肠死亡(3组)中低于腹膜/卵巢组。尽管影像限制,症状调查问卷可以指导外科转诊。结论:虽然这些成像方式可以帮助识别DIE和子宫内膜异位瘤,但它们在检测浅表腹膜病变时效果较差,浅表腹膜病变也会引起明显的症状。因此,尽管症状问卷不是明确的诊断工具,但它们可以作为进一步调查和外科评估转诊的重要起点。
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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
期刊介绍: Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report". The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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