Quality-of-life of the women after surgical treatment of ectopic pregnancy

Abstract

Estimation of quality-of-life (QOL) - modern method of researches allowing to reveal even insignificant change in any spheres of ones life with the purpose of all-round definition of efficiency of treatment. The questionnaire, developed by the authors, for an QOL estimation f the patients after operations concerning ectopic pregnancy has high sensitivity, and allows to reveal statistically significant authentic distinctions since 14 day postoperation. The conducting factor determining QOL of patients after all kinds of surgical ectopic pregnancy treatment is the infertility. The increase of a share carried out organ-saving operations considerably improves reproductive health of the population in comparison with results of radical surgeries with removal of uterine tube, that is reflected in fastest positive dynamics in QOL in various terms after operation.

Keywords

quality of life / ectopic pregnancy, surgical treatment / infertility / organ-preserving surgery

References

[1] Багненко С.Ф. Диагностика и хирургическое лечение хронического билиарного панкреатита: дис. д-ра мед. наук.- СПб., 1997.-353 с.

[2] Кира Е.Ф., Беженарь В.Ф., Рухляда Н.Н. Перспективы использования оценки качества жизни гинекологических больных //Журнал акушерства и женских болезней, 1999.- т. XLVIII, вып.1.- С. 59-63.

[3] Стрижаков А.Н., Давыдов А.И., Шахламова М.Н., Белоцерковцева Л.Д. Внематочная беременность. М., Медицина, 1998.-216 с.

[4] Эндоскопия в гинекологии. Под ред. В. И. Кулакова и Л. В. Адамян. - М., 1999. - 623 с.

[5] Cronin L., Guyatt G., Griffith L. et al. Development of a Health-Belated Quality-of-Life Questionnaire (PCOSQ) for Women with Polycystic Ovary Syndrome (PCOS). J. Clin. Endocr. Metabol, 1998.- Vol. 83.- №6.- P 1976-1983.

[6] Miller K., Corcoran C., Armstrong C. et al. Transdermal Testosterone Administration in Women with Acquired Immunodeficiency Syndrome Wasting. J. Clin. Endocr. Metabol., 1998.- Vol. 83.-№8.- P. 2717-2725.

[7] Nieuwkerk P.T., Hajenius P.J., Ankum W.M. ét al. Systemic methotrexate therapy versus laparoscopie salpingostomy in patients with tubal pregnancy. Fertil. Steril., 1998. -№ 70.- P.511 -517.

[8] Roberts J.A., Brown D., Elkins T. Factors influencing views of patients with gynecologic cancer about end- of-life decisions. Am. J. Ob. Gyn., 1997. - Vol 176.- №1.- P. 166-172.

[9] Van Den Eeden S.K., Glasser M., Mathias S.D. et al. Quality of life, health care utilization, and costs among women undergoing hysterectomy in a managed-care setting. Am. J. Ob. Gyn., 1998.- Vol 178.-№1.-P.91-100.

RIGHTS & PERMISSIONS

Eсо-Vector