Analysis Of Postoperative Dysmenorrhea In 47 Patients With Ovarian Endometrioma

Objective(s):Retrospective analysis of 47 patients with ovarian endometrioma and dysmenorrhea admitted to the First Affiliated Hospital of Kunming Medical University after surgical treatment,improvement of dysmenorrhea,postoperative preventive medication,recurrence and pregnancy,in order to better guide clinical work.Methods:A collection of 47 patients with ovarian endometrioma and dysmenorrhea who were admitted to the First Affiliated Hospital of Kunming Medical University from January 2019 to December 2019 as the research objects,collected clinical and pathological data,retrospectively analyzed various indicators,and Perform statistical processing.All 47 patients have undergone surgical treatment(open/laparoscopic,cyst removal),and all of them have been diagnosed as ovarian endometrioma by the pathology department of our hospital.The self-control method was used to compare the preoperative and postoperative dysmenorrhea.The collected medical records include age distribution,duration of disease,clinical symptoms,severity of dysmenorrhea,preoperative auxiliary examination and operation methods,intraoperative ovarian lesion size,intraoperative adhesions,postoperative adjuvant treatment,improvement of dysmenorrhea,recurrence and pregnancy.Follow up by phone and WeChat.Results:1.A total of 47 patients were enrolled in this study.The age of onset of the patients ranged from 24-51 years,with an average age of 35.7±8.0 years and a peak age of 31-37 years.2.The average duration of the disease was 15.7 months,and the peak time distribution of the duration of the disease was between 1-6 months.The most common reason for the patient’s visit was an ovarian cyst(70.2%)found on physical examination.3.According to the dysmenorrhea degree score of the patients according to NRS,the difference of the changes between the preoperative score and the postoperative score,the difference was statistically significant(P<0.05).The degree of improvement of postoperative dysmenorrhea was statistically significant in the comparison of preoperative pain level and unilateral or bilateral lesions(P<0.05).4.1f only comparing dysmenorrhea symptoms whether or not change between the groups,whether the patient’s postoperative dysmenorrhea is improved compared to the preoperative pain level,whether the lesion is unilateral or bilateral,the surgical method,ovarian lesion diameter,ASRM staging,and Whether to use GnRH-a after operation,the difference are not statistically significant(P>0.05).5.The postoperative recurrence rate is 14.9%.There are no statistically significant comparisons between patients’ postoperative recurrence and lesions,whether they were unilateral or bilateral,surgical methods,ovarian lesion size,whether there were ASRM staging,and whether GnRH-a was used after surgery(P>0.05).Conclusion(s):1.Patients with ovarian endometrioma have improved postoperative NRS scores compared with those before surgery,and the degree of improvement is related to the preoperative pain level and whether the lesions are unilateral or bilateral,surgery can be considered to improve the symptoms.2.There is no certain evidence to support that the lesions are unilateral or bilateral,surgical methods(laparoscopic or laparotomy),the size of ovarian lesions,whether there are ASRM stagings,and whether GnRH-a is used after surgery is related to postoperative recurrence.