Kronik pelvik ağrılı hastalarda laparoskopi sonuçlarının değerlendirilmesi

Year 2022, , 317 - 321, 26.12.2022

Asena Ayar Madenli , Halime Çalı Öztürk

https://doi.org/10.47582/jompac.1172802

Abstract

Amaç: Çalışmamız, kronik pelvik ağrı (KPAS) tanısı ile laparoskopi yapılan hastaların laparoskopi sonuçlarını fertil ve infertil olmak üzere iki grupta retrospektif olarak değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntem: Bu retrospektif çalışmada, KPAS nedeniyle laparoskopi yapılan 170 hastanın elektronik kayıtları incelendi. Hastalar vaka grubu olarak KPAS ve açıklanamayan infertilite grubu (n: 87) ve kontrol grubu olarak KPAS fertil grubu (n: 83) olmak üzere iki gruba ayrıldı. 25-40 yaş arası açıklanamayan infertilite ve KPAS olan kadınlar çalışmaya dahil edildi.
Bulgular: Kadınlarda infertilite ile laparoskopi sonuçları arasında istatistiksel olarak anlamlı bir ilişki buldu (p<0,001). Kadınlarda infertilite ile semptomlar arasında istatistiksel olarak anlamlı bir ilişki yoktu (p>0,05). Kadınların infertilitesi ile sigara içme durumu arasında istatistiksel olarak anlamlı bir ilişki yoktu (p>0,05). Mann-Whitney testi, yaş ve vücut kitle indeksi (VKİ) açısından olgu ve kontrol arasında istatistiksel olarak anlamlı bir ilişki bulmadı (p>0,05). Ağrı süresi açısından gruplar arasında istatistiksel olarak anlamlı fark vardı (p<0,05). Olgu grubundaki ağrı süresi (Ort=5,34; SD=1,67), kontrol grubundaki ağrı süresinden (Ort=4,8; SD=1,72) daha uzundu.
Sonuç: Sonuçlar, infertil grupta ağrı süresinin fertil gruptan anlamlı olarak daha yüksek olduğunu gösterdi ve bu durum esas olarak endometriozise atfedilebilir.

Keywords

Laparoskopi, kronik pelvik ağrı, kısırlık

Evaluation of laparoscopy results for the patients with chronic pelvic pain

Abstract

Aim: The study aims to retrospectively evaluate the laparoscopy results of patients who underwent laparoscopy with chronic pelvic pain (CPPS) diagnosis in two groups of fertile and infertile patients.
Material and Method: This retrospective study examined the electronic records of 170 patients who underwent laparoscopy due to CPPS were included in the study. The patients were divided into two groups: the CPPS and unexplained infertility group (n: 87) as the case group and the CPPS fertile group (n: 83) as the control group. Women aged 25-40 years with unexplained infertility and CPPS were included in the study.
Results: Results found a statistically significant association between infertility in women and laparoscopy results (p<0.001). There was no statistically significant association between infertility in women and symptoms (p>0.05). There was no statistically significant association between women’s infertility and smoking status (p>0.05). Mann-Whitney test did not find a statistically significant association between case and control regarding age and body mass index (BMI) (p>0.05). There was a statistically significant difference between groups in terms of the duration of pain (p<0.05). The duration of pain in the case group (M=5.34; SD=1.67) was higher than the duration of pain in controls (M=4.8; SD=1.72).
Conclusion: Results showed that the duration of pain in the infertile group was significantly higher than in the fertile group, which could mainly be attributed to endometriosis.

Keywords

Laparoscopy, chronic pelvic pain, infertility

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