• Pak J Med Sci · Sep 2018

    Treatment of pelvic cavity pain caused by endometriosis with excision of invaded sacrospinous ligament.

    • Jinqiong Li, Xia Yao, and Jing Zhang.
    • Jinqiong Li, Department Gynecology and Obstetrics, Affiliated Heji Hospital of Changzhi Medical College, Changzhi, Shanxi Province, 046000, P. R. China.
    • Pak J Med Sci. 2018 Sep 1; 34 (5): 1200-1203.

    ObjectiveTo evaluate the clinical therapeutic effects of excision of invaded sacrospinous ligament on pelvic cavity pain caused by endometriosis.MethodsEighty endometriotic patients treated in our hospital from January 2013 to December 2014 were chosen, and divided into a control group and an observation group. Regular operation (i.e. excision of endometriotic nidus and separation of pelvic cavity adhesion) was performed for the control group, while regular operation and sacrospinous ligament excision were conducted for the observation group. Intraoperative and postoperative conditions as well as postoperative pain remission of both groups were compared.ResultsFor the amount of bleeding during operation, the control group was (120±5.2) ml, while the observation group was (160±4.0) ml. For the duration of operation, the control group was (65±3.4) minutes, while the observation group was (92±2.6) min (p<0.05), with a significant difference. For the independent urination time after operation, the control group was (32±8.8) hour, while the observation group was (33±6.4) hour. For the evacuation time after operation, the control group was (38±2.6) hour, while the observation group was (39±3.0) hour (p>0.05), with a significant difference. The postoperative VAS scores of the two groups were significantly lower than those before operation, and the VAS score of the observation group was significantly lower than that of the control group, p<0.05.ConclusionsSacrospinous ligament excision relieved pain caused by endometriosis, so it may be applicable to the endometriosis patients with sacrospinous ligament infiltration or severe pain.

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