Uterine Junctional Zone Thickness, Cervical Length and Bioelectrical Impedance Analysis of Body Composition in Women with Endometriosis

Abstract

Objective: We aimed to evaluate uterine junctional zone thickness, cervical length and bioelectrical impedance analysis of body composition in women with endometriosis. Material and Methods: This is a prospective study conducted in a tertiary teaching hospital. A total of 73 patients were included in the study. Endometriosis was surgically diagnosed in 36 patients (study group). The control group included 37 patients. Main outcome measure(s): Bioelectrical impedance analysis was used to measure body composition. Uterine junctional zone thickness and cervical length were measured by transvaginal ultrasonography. Results: Patients' characteristics (age, gravida, parity, live baby, age of menarche, lengths of menstrual cycle , percentage of patients with dysmenorrhea, positive family history), body mass index (BMI) (kg/m2), amount of body fat (kg), percentage of body fat were not statistically different between the two groups (p>0.05). The length of menstruation and cervical length were longer in women with endometriosis. Similarly, the inner myometrium was thicker in women with endometriosis than the control group. Conclusion: The relation between endometriosis and demographic features such as age, gravida, parity, gravida, BMI, lengths of the menstrual cycle, age of menarche are controversial. Longer cervical length and thicker inner myometrial layer may be important in the etiopathogenesis of endometriosis. Turkish Başlık: Endometriosisli Kadınlarda Uterin Myometrial Kalınlık, Servikal Uzunluk Ölçümü ve Vücut Bioelektrik İmpedansı Analizleri Anahtar Kelimeler: Bioelektriksel impedans analizi, serviks, endometriyozis, myometrium Amaç: Bu çalışmada ileri evre endometriozisli kadınlarda uterin subendometrial myometrial kalınlığının ölçümü, serviks boylarının ve vücut bioelektrik impedansı analizlerinin yapılması amaçlanmıştır. Gereç ve Yöntemler: Bu çalışma üçüncü basamak bir eğitim hastanesinde yapılan prospektif bir çalışmadır. Toplam 73 hasta çalışmaya dahil edilmiştir. Endometriozisin tanısı 36 hastanın olduğu çalışma grubunda cerrahi olarak konmuştur. Kontrol grubu 37 hastadan oluşmaktadır.Bioelektrik impedans analizleri ölçümleri vücut bileşenlerinin belirlenmesinde kullanıldı. Subendometrial myometrial kalınlığın ve servikal uzunluğun ölçümünde transvajinal ultrasonografi kullanıldı. Bulgular: İki hasta grubu arasında tanımlayıcı bilgileri (yaş, gravida, parite, yaşayan bebek sayısı, menarj yaşı, dismenoreli yasta yüzdesi, ailevi anamnezi positif hasta sayısı), vücut kitle indeksleri (kg/m2), vücuttaki yağ miktarları (kg) ve vücut yağ yüzdeleri arasında istatistiksel bir fark yoktur (p > 0.05). Menstürasyon süresi ve servikal uzunluk endometriozisli hastalarda daha uzun olarak saptandı. Benzer şekilde subendometrial myometrium kalınlığı çalışma grubunda daha kalındı. Sonuç: Yaş, gravida, parite, Vücut kitle indeksi, menstürasyon süresi, menarj yaşı gibi demografik özellikler ve endometriozis arasındaki ilişki tartışmalıdır. Uzun servikal boy ve kalın subendometrial myometrium kalınlığı endometriozis etyopatogenezinde önemli olabilir.

Keywords

• Bioelectrical impedance analysis, cervix, endometriosis, inner myometrium

Uterine Junctional Zone Thickness, Cervical Length and Bioelectrical Impedance Analysis of Body Composition in Women with Endometriosis

Öz

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