整骨疗法对子宫内膜异位症术后复发性骨盆疼痛和性交困难的影响:一项回顾性研究。

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Minerva obstetrics and gynecology Pub Date : 2024-06-01 Epub Date: 2023-11-23 DOI:10.23736/S2724-606X.23.05351-4
Carlo Alboni, Simona Melegari, Ludovica Camacho Mattos, Antonino Farulla
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引用次数: 0

摘要

背景:手术切除深浸润性子宫内膜异位症通常与症状改善相关。然而,由于子宫内膜异位症疼痛的发病机制复杂,包括中枢致敏和肌筋膜功能障碍,手术后症状可能持续存在。本观察性研究的目的是探讨骨科手法治疗(OMT)在减少子宫内膜异位症患者持续盆腔疼痛和性交困难方面的有效性。方法:回顾性队列分析69例子宫内膜异位症术后持续性肌筋膜疼痛、慢性盆腔疼痛(CPP)和性交困难患者的OMT治疗。回顾性分析外科、临床和骨科报告。整骨疗法干预包括肌筋膜释放、平衡韧带/膜张力和间接流体技术。结果:研究期间345例患者因症状性子宫内膜异位症接受手术治疗。其中97例(28.1%)患者术后出现持续性CPP和性交困难,69例患者接受整骨治疗。OMT报告显示,第一次OMT治疗后症状有显著改善。特别是CPP得分较低(平均NRS为4±4.2比0.2±0.7,P值)。结论:OMT,打破疼痛循环,使骨盆肌肉骨骼活动正常化,可能是治疗子宫内膜异位症手术后持续慢性疼痛的一种成功技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of osteopathic manipulative therapy on recurrent pelvic pain and dyspareunia in women after surgery for endometriosis: a retrospective study.

Background: Surgical removal of deep infiltrating endometriosis is frequently associated with improvement in symptoms. However, because of the complex pathogenesis of pain in endometriosis that includes central sensitization and myofascial dysfunction, symptoms can persist after surgery. The aim of the present observational study is to explore the effectiveness of osteopathic manipulative treatment (OMT) in reducing persistent pelvic pain and dyspareunia in a sample of symptomatic women surgically treated for endometriosis.

Methods: Retrospective cohort analysis of 69 patients treated with OMT, for persistent myofascial pain, chronic pelvic pain (CPP) and dyspareunia after surgical eradication of endometriosis. Surgical, clinical and osteopathic reports were retrospectively analyzed in a chart review. Osteopathic interventions included myofascial release, balanced ligamentous/membranous tension and indirect fluidic technique.

Results: During the study period 345 patients underwent surgery for symptomatic endometriosis. Among them, 97 patients (28.1%) complained of post-operative persistent CPP and dyspareunia and 69 patients underwent osteopathic treatment. OMT reports showed a significant improvement of the symptoms after the first OMT session. Particularly, lower scores of CPP (mean NRS 4±4.2 vs. 0.2±0.7, P value.

Conclusions: OMT, breaking the cycle of pain and normalizing the musculoskeletal pelvic activity, could be a successful technique to treat persistent chronic pain in women surgically treated for endometriosis.

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来源期刊
Minerva obstetrics and gynecology
Minerva obstetrics and gynecology OBSTETRICS & GYNECOLOGY-
CiteScore
2.90
自引率
11.10%
发文量
191
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