title: [Clinical analysis of efficacy and quality of life of segmental bowel resection for bowel endometriosis].
abstract: OBJECTIVE
  To evaluate the efficacy and quality of life of segmental bowel resection for bowel endometriosis.
  
  
  METHODS
  Totally 62 symptomatic patients with bowel endometriosis undergoing segmental bowel resection were recruited. A visual analogue scale(VAS)and the 36-item short form health survey(SF-36)questionnaire were administered before and at least 1 year after surgery, respectively. Pregnancy rates were also recorded.
  
  
  RESULTS
  Sixty-two patients in total underwent follow-up ranging from 12 to 74 months. All patients complained of obvious pain symptoms, including dysmenorrhea, dyspareunia, pain on defecation and chronic pelvic pain. The relief of dysmenorrhea(2.9 ± 2.2 versus 7.5 ± 2.9), dyspareunia(0.7 ± 0.5 versus 4.3 ± 2.2)and pain on defecation(1.6 ± 0.7 versus 7.3 ± 1.9)after surgery was statistically significant(all P<0.01). The scores for all 8 domains of the SF-36 questionnaire were significant improved after segmental bowel resection(all P<0.01). The complication rate was 45%(28/62), including 18 cases of urinary retention, 4 rectovaginal fistulas, 2 cases of vaginal dehiscence, and 1 case each of thrombogenesis, pelvic abscess and general peritonitis. All of the patients with complications recovered well throughout follow-up. The postoperative pregnancy rate of the previous infertile patients was 6/10. Among the 6 gestational cases, 2 had labour, 2 underwent caesarean sections, one had a spontaneous natural abortion, and one underwent uterine curettage.
  
  
  CONCLUSIONS
  Segmental bowel resection could significantly relieve pain and improve quality of life for patients with bowel endometriosis.
authors.affiliation: Department of Obstetrics and Gynecology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: D
authors.initials: D
authors.lastname: Liu
authors.forename: H M
authors.initials: HM
authors.lastname: Shen
authors.forename: Y C
authors.initials: YC
authors.lastname: Liang
authors.forename: W
authors.initials: W
authors.lastname: Wang
authors.forename: T Y
authors.initials: TY
authors.lastname: Liu
authors.forename: C L
authors.initials: CL
authors.lastname: Shang
authors.forename: S Z
authors.initials: SZ
authors.lastname: Yao
mesh_terms: D004412:Dysmenorrhea / Q000209:etiology; D004414:Dyspareunia / Q000209:etiology; D004715:Endometriosis / Q000150:complications / Q000523:psychology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010147:Pain Measurement; D017699:Pelvic Pain / Q000209:etiology; D011247:Pregnancy; D018873:Pregnancy Rate; D011788:Quality of Life; D012006:Rectovaginal Fistula; D011795:Surveys and Questionnaires; D016896:Treatment Outcome