The Efficacy of GnRH Analogue on Pain Treatment after Laparoscopic Cystectomy of Endometrioma / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
;
: 834-839, 2004.
Artículo
en Coreano
| WPRIM
| ID: wpr-99325
ABSTRACT
OBJECTIVE:
To estimate the efficacy of GnRH analogue on pain treatment after laparoscopic cystectomy of endometrioma.METHODS:
During a 12-month period from March 2000 to February 2001 in Chonnam National University Hospital, Sixty five patients with ovarian cysts were diagnosed as endometrioma by clinical examination, ultrasonogram and serum CA 125 level. The laparoscopic cystectomy was performed and 65 consecutive women were biopsy-proved endometrioma. They were treated with GnRH analogue intramuscular injection every 4 weeks over a period of 6 months after operation. 10-point linear visual analogue scales for pelvic pain were completed pre- and post- treatment at 6 months and 12 months.RESULTS:
A total of 96 endometriotic cysts (21 cysts were bilateral) were found in the 65 patients. 65 patients had a pain associated with endometriosis. 40 patients of them complained of a dysmenorrhea, 14 patients for dyspareunia, and 24 patients for non-menstrual pain. At preoperative, the mean pain score was 5.85 +/- 2.28 (mean +/- SD) for dysmenorrhea; for dyspareunia, 5.29 +/- 1.49; for non-menstrual pain, 5.33 +/- 2.10. At 6 months and 12 months, the mean pain score was 3.20 +/- 1.68 and 2.42 +/- 1.9 for dysmenorrhea; for dyspareunia, 3.71 +/- 1.73 and 3.57 +/- 1.79; for non-menstrual pain, 3.63 +/- 2.26 and 3.29 +/- 1.97. The mean pain score for pelvic pain decreased after combined treatment.CONCLUSION:
The laparoscopic cystectomy of ovarian endometrioma is an effective treatment for pelvic pain and the combination therapy with GnRH analogue is more useful to relieving pelvic pain after operation.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Quistes Ováricos
/
Pesos y Medidas
/
Cistectomía
/
Ultrasonografía
/
Hormona Liberadora de Gonadotropina
/
Dolor Pélvico
/
Dismenorrea
/
Dispareunia
/
Endometriosis
/
Inyecciones Intramusculares
Tipo de estudio:
Estudio diagnóstico
Límite:
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Obstetrics and Gynecology
Año:
2004
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS