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Хроническая тазовая боль при эндометриозе: от терапевтического абстрагирования к клинической конкретизации
Хроническая тазовая боль при эндометриозе: от терапевтического абстрагирования к клинической конкретизации
Оразов М.Р., Радзинский В.Е., Долгов Е.Д. Хроническая тазовая боль при эндометриозе: от терапевтического абстрагирования к клинической конкретизации. Гинекология. 2023;25(3):307–313.
DOI: 10.26442/20795696.2023.3.202290
© ООО «КОНСИЛИУМ МЕДИКУМ», 2023 г.
DOI: 10.26442/20795696.2023.3.202290
© ООО «КОНСИЛИУМ МЕДИКУМ», 2023 г.
________________________________________________
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Аннотация
В настоящий момент эндометриоз является одной из самых распространенных и актуальных гинекологических нозологий. Широта его клинических проявлений крайне высока, однако одним из главных является болевой синдром, обладающий высокой гетерогенностью. Объединяющее понятие алгологических паттернов эндометриоза – это хроническая тазовая боль, способствующая выраженному снижению качества жизни пациенток. В этой связи необходимо разобрать ключевые патогенетические механизмы тазовой боли, ассоциированной с эндометриозом, и на их основе определить персонифицированную терапевтическую тактику.
Ключевые слова: эндометриоз, хроническая тазовая боль, диеногест
Keywords: endometriosis, chronic pelvic pain, dienogest
Ключевые слова: эндометриоз, хроническая тазовая боль, диеногест
________________________________________________
Keywords: endometriosis, chronic pelvic pain, dienogest
Полный текст
Список литературы
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37. Leung-Wright A. Physiotherapy for chronic pelvic pain: a review of the latest evidence. J Pelvic Obstet Gynaecol Physiother. 2020;127:26-38.
38. Berghmans B. Physiotherapy for pelvic pain and female sexual dysfunction: an untapped resource. Int Urogynecol J. 2018;29(5):631-8. DOI:10.1007/s00192-017-3536-8
2. ACOG. Chronic pelvic pain: ACOG Practice Bulletin, Number 218. Obstet Gynecol. 2020;135(3):e98-109. DOI:10.1097/AOG.0000000000003716
3. Radzinskii VE, Orazov MR, Kostin IN. Khronicheskaia tazovaia bol' v ginekologicheskoi praktike. Doctor.Ru. 2019;7(162):30-5 (in Russian). DOI:10.31550/1727-2378-2019-162-7-30-35
4. Yilmaz BD, Bulun SE. Endometriosis and nuclear receptors. Hum Reprod Update. 2019;25(4):473-85. DOI:10.1093/humupd/dmz005
5. fon Vol'ff M, Shtute P. Ginekologicheskaia endokrinologiia i reproduktivnaia meditsina. Pod red. EN Andreevoi. 3-e izd. Moscow: MEDpress-inform, 2022 (in Russian).
6. Laganà AS, Garzon S, Götte M, et al. The pathogenesis of endometriosis: molecular and cell biology insights. Int J Mol Sci. 2019;20(22):5615. DOI:10.3390/ijms20225615
7. Orazov MR, Toktar LR. Bol' po krugu. StatusPraesens. Ginekologiia, akusherstvo, besplodnyi brak. 2020;4(69):42-7 (in Russian).
8. Smolarz B, Szyłło K, Romanowicz H. Endometriosis: epidemiology, classification, pathogenesis, treatment and genetics (review of literature). Int J Mol Sci. 2021;22(19):10554.
9. Iakovleva EB, Babenko OM, Bugaev AB. Sovremennyi vzgliad na problemu lecheniia khronicheskoi tazovoi boli. Meditsina neotlozhnykh sostoianii. 2014;2(57):134-9 (in Russian).
10. Quintana RL. Endometriosis infiltrativa profunda en la vejiga, resección quirúrgica por laparoscopia. Reporte de un caso y revisión de la bibliografía. Reproducción (México). 2022;13 (in Spanish).
11. Gutman G, Nunez AT, Fisher M. Dysmenorrhea in adolescents. Curr Probl Pediatr Adolesc Health Care. 2022;52(5):101186. DOI:10.1016/j.cppeds.2022.101186
12. Stout A, Jeve Y. The management of endometriosis-related pelvic pain. Obstet Gynaecol Reprod Med. 2021;31(3):84-90. DOI:10.1016/j.ogrm.2021.01.005
13. Hoo W-L, Hardcastle R, Louden K. Management of endometriosis-related pelvic pain. Obstet Gynaecol. 2017;19:131-8. DOI:10.1111/tog.12375
14. Cozzolino M, Coccia ME, Lazzeri G, et al. Variables associated with endometriosis-related pain: a pilot study using a visual analogue scale. Rev Bras Ginecol Obstet.
2019;41(3):170-5. DOI:10.1055/s-0039-1679879
15. Kor E, Mostafavi SRS, Mazhin ZA, et al. Relationship between the severity of endometriosis symptoms (dyspareunia, dysmenorrhea and chronic pelvic pain) and the spread of the disease on ultrasound. BMC Res Notes. 2020;13(1):546. DOI:10.1186/s13104-020-05388-5
16. Orazov MR, Raevskaia OA, Moskvicheva VS. Perebiraia folianty. Vedenie bol'nykh endometriozom: obnovlennyi gaidlain ESHRE (2022): Informatsionnyi biulleten'. Pod red. VE Radzinskogo. Moscow: Redaktsiia zhurnala StatusPraesens. 2022 (in Russian).
17. Guideline of European Society of Human Reproduction and Embryology. Endometriosis. 2022.
18. Agarwal SK, Chapron C, Giudice LC, et al. Clinical diagnosis of endometriosis: a call to action. Am J Obstet Gynecol. 2019;220(4):354.e1-12. DOI:10.1016/j.ajog.2018.12.039
19. Rossiiskoe obshchestvo akusherov-ginekologov. Federal'nye klinicheskie rekomendatsii. Endometrioz. 2020 (in Russian).
20. Scioscia M, Virgilio BA, Laganà AS, et al. Differential Diagnosis of Endometriosis by Ultrasound: A Rising Challenge. Diagnostics (Basel). 2020;10(10):848. DOI:10.3390/diagnostics10100848
21. Kido A, Himoto Y, Moribata Y, et al. MRI in the Diagnosis of Endometriosis and Related Diseases. Korean J Radiol. 2022;23(4):426-45. DOI:10.3348/kjr.2021.0405
22. Breivik H, Borchgrevink PC, Allen SM, et al. Assessment of pain. Br J Anaesth. 2008;101(1):17-24. DOI:10.1093/bja/aen103
23. Orazov MR. Endometrioz s trevozhnymi notami: kak smenit' tonal'nost'? Razbor klinicheskogo sluchaia. StatusPraesens. Ginekologiia, akusherstvo, besplodnyi brak. 2021;4:113-7 (in Russian).
24. Bennett M. The LANSS Pain Scale: the Leeds assessment of neuropathic symptoms and signs. Pain. 2001;92(1-2):147-57. DOI:10.1016/s0304-3959(00)00482-6
25. Green IC, Burnett T, Famuyide A. Persistent Pelvic Pain in Patients With Endometriosis. Clin Obstet Gynecol. 2022;65(4):775-85. DOI:10.1097/GRF.0000000000000712
26. Wacharachawana S, Phaliwong P, Prommas S, et al. Recurrence rate and risk factors for the recurrence of ovarian endometriosis after laparoscopic ovarian cystectomy. Biomed Res Int. 2021;2021:6679641. DOI:10.1155/2021/6679641
27. Yela DA, Vitale SG, Vizotto MP, Benetti-Pinto CL. Risk factors for recurrence of deep infiltrating endometriosis after surgical treatment. J Obstet Gynaecol Res. 2021;47(8):2713-9. DOI:10.1111/jog.14837
28. Singh SS, Gude K, Perdeaux E, et al. Surgical outcomes in patients with endometriosis: a systematic review. J Obstet Gynaecol Can. 2020;42(7):881-8.e11. DOI:10.1016/j.jogc.2019.08.004
29. Lai ZZ, Yang HL, Ha SY, et al. Cyclooxygenase-2 in Endometriosis. Int J Biol Sci. 2019;15(13):2783-97. DOI:10.7150/ijbs.35128
30. Shamran S. Evaluation of the effect of using NSAIDs on ovulation in women during reproductive age: a case control study. Al-Qadisiyah Medical Journal. 2019;15(1):109-12.
31. Kim HJ, Kim SH, Oh YS, et al. Dienogest May Reduce Estradiol-and Inflammatory Cytokine-Induced Cell Viability and Proliferation and Inhibit the Pathogenesis of Endometriosis: A Cell Culture-and Mouse Model-Based Study. Biomedicines. 2022;10(11):2992. DOI:10.3390/biomedicines10112992
32. Caruso S, Iraci M, Cianci S, et al. Effects of long-term treatment with Dienogest on the quality of life and sexual function of women affected by endometriosis-associated pelvic pain. J Pain Res. 2019;12:2371-8. DOI:10.2147/JPR.S207599
33. Orazov MR, Radzinsky VE, Orekhov RE, Tairova MB. Effectiveness of medical therapy for preventing ovarian endometriosis recurrence after surgical treatment. Vopr ginekol akus perinatol. (Gynecology, Obstetrics and Perinatology). 2022;21(3):53-62 (in Russian). DOI:10.20953/1726-1678-2022-3-53-62
34. Yarmolinskaya MI, Denisova VM. Modern Approaches to Add-Back Therapy in Patients with Genital Endometriosis. Akusherstvo i ginekologiia. 2015;36:24-31 (in Russian).
35. Kuznetsova DE, Prokopenko SV, Makarenko TA, et al. Differentiated therapy in patients with infiltrative endometriosis and chronic pelvic syndrome taking into account the vegetative status peculiarities. Russian Journal of Human Reproduction. 2018;24(6):121-31 (in Russian). DOI:10.17116/repro201824061121
36. Klotz SGR, Schön M, Ketels G, et al. Physiotherapy management of patients with chronic pelvic pain (CPP): a systematic review. Physiother Theory Pract. 2019;35(6):516-32. DOI:10.1080/09593985.2018.1455251
37. Leung-Wright A. Physiotherapy for chronic pelvic pain: a review of the latest evidence. J Pelvic Obstet Gynaecol Physiother. 2020;127:26-38.
38. Berghmans B. Physiotherapy for pelvic pain and female sexual dysfunction: an untapped resource. Int Urogynecol J. 2018;29(5):631-8. DOI:10.1007/s00192-017-3536-8
2. ACOG. Chronic pelvic pain: ACOG Practice Bulletin, Number 218. Obstet Gynecol. 2020;135(3):e98-109. DOI:10.1097/AOG.0000000000003716
3. Радзинский В.Е., Оразов М.Р., Костин И.Н. Хроническая тазовая боль в гинекологической практике. Доктор.Ру. 2019;7(162):30-5 [Radzinskii VE, Orazov MR, Kostin IN. Khronicheskaia tazovaia bol' v ginekologicheskoi praktike. Doctor.Ru. 2019;7(162):30-5 (in Russian)]. DOI:10.31550/1727-2378-2019-162-7-30-35
4. Yilmaz BD, Bulun SE. Endometriosis and nuclear receptors. Hum Reprod Update. 2019;25(4):473-85. DOI:10.1093/humupd/dmz005
5. фон Вольфф М, Штуте П. Гинекологическая эндокринология и репродуктивная медицина. Под ред. Е.Н. Андреевой. 3-е изд. М.: МЕДпресс-информ, 2022 [fon Vol'ff M, Shtute P. Ginekologicheskaia endokrinologiia i reproduktivnaia meditsina. Pod red. EN Andreevoi. 3-e izd. Moscow: MEDpress-inform, 2022 (in Russian)].
6. Laganà AS, Garzon S, Götte M, et al. The pathogenesis of endometriosis: molecular and cell biology insights. Int J Mol Sci. 2019;20(22):5615. DOI:10.3390/ijms20225615
7. Оразов М.Р., Токтар Л.Р. Боль по кругу. StatusPraesens. Гинекология, акушерство, бесплодный брак. 2020;4(69):42-7 [Orazov MR, Toktar LR. Bol' po krugu. StatusPraesens. Ginekologiia, akusherstvo, besplodnyi brak. 2020;4(69):42-7 (in Russian)].
8. Smolarz B, Szyłło K, Romanowicz H. Endometriosis: epidemiology, classification, pathogenesis, treatment and genetics (review of literature). Int J Mol Sci. 2021;22(19):10554.
9. Яковлева Э.Б., Бабенко О.М., Бугаев А.Б. Современный взгляд на проблему лечения хронической тазовой боли. Медицина неотложных состояний. 2014;2(57):134-9 [Iakovleva EB, Babenko OM, Bugaev AB. Sovremennyi vzgliad na problemu lecheniia khronicheskoi tazovoi boli. Meditsina neotlozhnykh sostoianii. 2014;2(57):134-9 (in Russian)].
10. Quintana RL. Endometriosis infiltrativa profunda en la vejiga, resección quirúrgica por laparoscopia. Reporte de un caso y revisión de la bibliografía. Reproducción (México). 2022;13 (in Spanish).
11. Gutman G, Nunez AT, Fisher M. Dysmenorrhea in adolescents. Curr Probl Pediatr Adolesc Health Care. 2022;52(5):101186. DOI:10.1016/j.cppeds.2022.101186
12. Stout A, Jeve Y. The management of endometriosis-related pelvic pain. Obstet Gynaecol Reprod Med. 2021;31(3):84-90. DOI:10.1016/j.ogrm.2021.01.005
13. Hoo W-L, Hardcastle R, Louden K. Management of endometriosis-related pelvic pain. Obstet Gynaecol. 2017;19:131-8. DOI:10.1111/tog.12375
14. Cozzolino M, Coccia ME, Lazzeri G, et al. Variables associated with endometriosis-related pain: a pilot study using a visual analogue scale. Rev Bras Ginecol Obstet.
2019;41(3):170-5. DOI:10.1055/s-0039-1679879
15. Kor E, Mostafavi SRS, Mazhin ZA, et al. Relationship between the severity of endometriosis symptoms (dyspareunia, dysmenorrhea and chronic pelvic pain) and the spread of the disease on ultrasound. BMC Res Notes. 2020;13(1):546. DOI:10.1186/s13104-020-05388-5
16. Оразов М.Р., Раевская О.А., Москвичева В.С. Перебирая фолианты. Ведение больных эндометриозом: обновленный гайдлайн ESHRE (2022): Информационный бюллетень. Под ред. В.Е. Радзинского. М.: Редакция журнала StatusPraesens. 2022 [Orazov MR, Raevskaia OA, Moskvicheva VS. Perebiraia folianty. Vedenie bol'nykh endometriozom: obnovlennyi gaidlain ESHRE (2022): Informatsionnyi biulleten'. Pod red. VE Radzinskogo. Moscow: Redaktsiia zhurnala StatusPraesens. 2022 (in Russian)].
17. Guideline of European Society of Human Reproduction and Embryology. Endometriosis. 2022.
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29. Lai ZZ, Yang HL, Ha SY, et al. Cyclooxygenase-2 in Endometriosis. Int J Biol Sci. 2019;15(13):2783-97. DOI:10.7150/ijbs.35128
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31. Kim HJ, Kim SH, Oh YS, et al. Dienogest May Reduce Estradiol-and Inflammatory Cytokine-Induced Cell Viability and Proliferation and Inhibit the Pathogenesis of Endometriosis: A Cell Culture-and Mouse Model-Based Study. Biomedicines. 2022;10(11):2992. DOI:10.3390/biomedicines10112992
32. Caruso S, Iraci M, Cianci S, et al. Effects of long-term treatment with Dienogest on the quality of life and sexual function of women affected by endometriosis-associated pelvic pain. J Pain Res. 2019;12:2371-8. DOI:10.2147/JPR.S207599
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16. Orazov MR, Raevskaia OA, Moskvicheva VS. Perebiraia folianty. Vedenie bol'nykh endometriozom: obnovlennyi gaidlain ESHRE (2022): Informatsionnyi biulleten'. Pod red. VE Radzinskogo. Moscow: Redaktsiia zhurnala StatusPraesens. 2022 (in Russian).
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19. Rossiiskoe obshchestvo akusherov-ginekologov. Federal'nye klinicheskie rekomendatsii. Endometrioz. 2020 (in Russian).
20. Scioscia M, Virgilio BA, Laganà AS, et al. Differential Diagnosis of Endometriosis by Ultrasound: A Rising Challenge. Diagnostics (Basel). 2020;10(10):848. DOI:10.3390/diagnostics10100848
21. Kido A, Himoto Y, Moribata Y, et al. MRI in the Diagnosis of Endometriosis and Related Diseases. Korean J Radiol. 2022;23(4):426-45. DOI:10.3348/kjr.2021.0405
22. Breivik H, Borchgrevink PC, Allen SM, et al. Assessment of pain. Br J Anaesth. 2008;101(1):17-24. DOI:10.1093/bja/aen103
23. Orazov MR. Endometrioz s trevozhnymi notami: kak smenit' tonal'nost'? Razbor klinicheskogo sluchaia. StatusPraesens. Ginekologiia, akusherstvo, besplodnyi brak. 2021;4:113-7 (in Russian).
24. Bennett M. The LANSS Pain Scale: the Leeds assessment of neuropathic symptoms and signs. Pain. 2001;92(1-2):147-57. DOI:10.1016/s0304-3959(00)00482-6
25. Green IC, Burnett T, Famuyide A. Persistent Pelvic Pain in Patients With Endometriosis. Clin Obstet Gynecol. 2022;65(4):775-85. DOI:10.1097/GRF.0000000000000712
26. Wacharachawana S, Phaliwong P, Prommas S, et al. Recurrence rate and risk factors for the recurrence of ovarian endometriosis after laparoscopic ovarian cystectomy. Biomed Res Int. 2021;2021:6679641. DOI:10.1155/2021/6679641
27. Yela DA, Vitale SG, Vizotto MP, Benetti-Pinto CL. Risk factors for recurrence of deep infiltrating endometriosis after surgical treatment. J Obstet Gynaecol Res. 2021;47(8):2713-9. DOI:10.1111/jog.14837
28. Singh SS, Gude K, Perdeaux E, et al. Surgical outcomes in patients with endometriosis: a systematic review. J Obstet Gynaecol Can. 2020;42(7):881-8.e11. DOI:10.1016/j.jogc.2019.08.004
29. Lai ZZ, Yang HL, Ha SY, et al. Cyclooxygenase-2 in Endometriosis. Int J Biol Sci. 2019;15(13):2783-97. DOI:10.7150/ijbs.35128
30. Shamran S. Evaluation of the effect of using NSAIDs on ovulation in women during reproductive age: a case control study. Al-Qadisiyah Medical Journal. 2019;15(1):109-12.
31. Kim HJ, Kim SH, Oh YS, et al. Dienogest May Reduce Estradiol-and Inflammatory Cytokine-Induced Cell Viability and Proliferation and Inhibit the Pathogenesis of Endometriosis: A Cell Culture-and Mouse Model-Based Study. Biomedicines. 2022;10(11):2992. DOI:10.3390/biomedicines10112992
32. Caruso S, Iraci M, Cianci S, et al. Effects of long-term treatment with Dienogest on the quality of life and sexual function of women affected by endometriosis-associated pelvic pain. J Pain Res. 2019;12:2371-8. DOI:10.2147/JPR.S207599
33. Orazov MR, Radzinsky VE, Orekhov RE, Tairova MB. Effectiveness of medical therapy for preventing ovarian endometriosis recurrence after surgical treatment. Vopr ginekol akus perinatol. (Gynecology, Obstetrics and Perinatology). 2022;21(3):53-62 (in Russian). DOI:10.20953/1726-1678-2022-3-53-62
34. Yarmolinskaya MI, Denisova VM. Modern Approaches to Add-Back Therapy in Patients with Genital Endometriosis. Akusherstvo i ginekologiia. 2015;36:24-31 (in Russian).
35. Kuznetsova DE, Prokopenko SV, Makarenko TA, et al. Differentiated therapy in patients with infiltrative endometriosis and chronic pelvic syndrome taking into account the vegetative status peculiarities. Russian Journal of Human Reproduction. 2018;24(6):121-31 (in Russian). DOI:10.17116/repro201824061121
36. Klotz SGR, Schön M, Ketels G, et al. Physiotherapy management of patients with chronic pelvic pain (CPP): a systematic review. Physiother Theory Pract. 2019;35(6):516-32. DOI:10.1080/09593985.2018.1455251
37. Leung-Wright A. Physiotherapy for chronic pelvic pain: a review of the latest evidence. J Pelvic Obstet Gynaecol Physiother. 2020;127:26-38.
38. Berghmans B. Physiotherapy for pelvic pain and female sexual dysfunction: an untapped resource. Int Urogynecol J. 2018;29(5):631-8. DOI:10.1007/s00192-017-3536-8
Авторы
М.Р. Оразов*, В.Е. Радзинский, Е.Д. Долгов
ФГАОУ ВО «Российский университет дружбы народов», Москва, Россия
*omekan@mail.ru
People’s Friendship University of Russia (RUDN University), Moscow, Russia
*omekan@mail.ru
ФГАОУ ВО «Российский университет дружбы народов», Москва, Россия
*omekan@mail.ru
________________________________________________
People’s Friendship University of Russia (RUDN University), Moscow, Russia
*omekan@mail.ru
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