无痛经卵巢子宫内膜异位囊肿临床特点分析
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摘要
目的:分析无痛经卵巢子宫内膜异位症患者的临床特点及其术后复发影响因素。方法:纳入无痛经的病理证实为卵巢子宫内膜异位症的患者,收集临床信息,SPSS软件行统计分析。结果:共纳入85例患者,合并腹膜子宫内膜异位症或深部浸润型内膜异位症者74.1%;临床分期为III或IV期;术后复发率为4.7%。结论:该类患者常易合并其他类型的盆腔内异症,临床分期高。
Objective: To study the clinical characteristics of ovarian endometrioma patients without dysmenorrhea, and to identify the risk factors of postoperative recurrence. Methods: The clinical data of patients with pathologically diagnosed ovarian endometrioma and without dysmenorrhea were collected and analyzed. Their preoperative information, operative information, and postoperative information were statistical analyzed by SPSS. Coax's proportional hazard univariate and multivariate analyses were performed to identify the risk factors of postoperative recurrence. Results: Totally 85 patients were included. Although they had no dysmenorrhea, they could still have dyspareunia, chronic pelvic pain, dyschezia and so on. Peritoneum endometriosis or deep infiltrating endometriosis was detected in 74.1% patients. Clinical stages of most of the patients were III or IV. Postoperative recurrence rate was 4.7%. Results of univariate analysis showed that pelvic surgery history was the risk factor of recurrence, however results of multivariate analyses hadn't shown the same result. Conclusion: Ovarian endometrioma patients without dysmenorrhea often accompanies by other types of pelvic endometriosis and presents with high clinical stage. Pelvic surgery history may be the risk factor of recurrence.
Objective: To study the clinical characteristics of ovarian endometrioma patients without dysmenorrhea, and to identify the risk factors of postoperative recurrence. Methods: The clinical data of patients with pathologically diagnosed ovarian endometrioma and without dysmenorrhea were collected and analyzed. Their preoperative information, operative information, and postoperative information were statistical analyzed by SPSS. Coax's proportional hazard univariate and multivariate analyses were performed to identify the risk factors of postoperative recurrence. Results: Totally 85 patients were included. Although they had no dysmenorrhea, they could still have dyspareunia, chronic pelvic pain, dyschezia and so on. Peritoneum endometriosis or deep infiltrating endometriosis was detected in 74.1% patients. Clinical stages of most of the patients were III or IV. Postoperative recurrence rate was 4.7%. Results of univariate analysis showed that pelvic surgery history was the risk factor of recurrence, however results of multivariate analyses hadn't shown the same result. Conclusion: Ovarian endometrioma patients without dysmenorrhea often accompanies by other types of pelvic endometriosis and presents with high clinical stage. Pelvic surgery history may be the risk factor of recurrence.
引文
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[6] Moini A,Arabipoor A,Ashrafinia N.Risk factors for recurrence rate of ovarian endometriomas following a laparoscopic cystectomy[J].Minerva Med,2014,105(4):295-301.
[7] Yuan M,Wang WW,Li Y,et al.Risk factors for recurrence of ovarian endometriomas after surgical excision[J].J Huazhong Univ Sci Technolog Med Sci,2014,34(2):213-219.
[8] Dimitrijevic D,Vasiljevic M,Anicic R,et al.Recurrence rate of ovarian endometriosis in patients treated with laparoscopic surgery and postoperative suppressive therapy[J].Clin Exp Obstet Gynecol,2015,42(3):339-343.
[9] Ouchi N,Akira S,Mine K,et al.Recurrence of ovarian endometrioma after laparoscopic excision:risk factors and prevention[J].J Obstet Gynaecol Res,2014,40(1):230-236.
[10] Guzel AI,Topcu HO,Ekilinc S,et al.Recurrence factors in women underwent laparoscopic surgery for endometrioma[J].Minerva Chir,2014,69(5):277-282.
[11] 中华医学会妇产科学分会子宫内膜异位症协作组.子宫内膜异位症的诊断与治疗规范[J].中华妇产科杂志,2007,42(9):645-648.
[12] 王艳艳,冷金花,史精华,等.子宫内膜异位症患者不同部位病灶中神经纤维分布及其与疼痛症状的关系[J].中华妇产科杂志,2010,45(4):260-263.
[2] Chapron C,Vercellini P,Barakat H,et al.Management of ovarian endometriomas[J] .Human reproduction update,2002,8(6):591-597.
[3] Busacca M,Marana R,Caruana P,et al.Recurrence of ovarian endometrioma after laparoscopic excision[J].American journal of obstetrics and gynecology,1999,180(3 Pt 1):519-523.
[4] Koga K,Takemura Y,Osuga Y,et al.Recurrence of ovarian endometrioma after laparoscopic excision[J].Human reproduction (Oxford,England),2006,21(8):2171-2174.
[5] Liu X,Yuan L,Shen F,et al.Patterns of and risk factors for recurrence in women with ovarian endometriomas.Obstetrics and gynecology.2007;109(6):1411-1420.
[6] Moini A,Arabipoor A,Ashrafinia N.Risk factors for recurrence rate of ovarian endometriomas following a laparoscopic cystectomy[J].Minerva Med,2014,105(4):295-301.
[7] Yuan M,Wang WW,Li Y,et al.Risk factors for recurrence of ovarian endometriomas after surgical excision[J].J Huazhong Univ Sci Technolog Med Sci,2014,34(2):213-219.
[8] Dimitrijevic D,Vasiljevic M,Anicic R,et al.Recurrence rate of ovarian endometriosis in patients treated with laparoscopic surgery and postoperative suppressive therapy[J].Clin Exp Obstet Gynecol,2015,42(3):339-343.
[9] Ouchi N,Akira S,Mine K,et al.Recurrence of ovarian endometrioma after laparoscopic excision:risk factors and prevention[J].J Obstet Gynaecol Res,2014,40(1):230-236.
[10] Guzel AI,Topcu HO,Ekilinc S,et al.Recurrence factors in women underwent laparoscopic surgery for endometrioma[J].Minerva Chir,2014,69(5):277-282.
[11] 中华医学会妇产科学分会子宫内膜异位症协作组.子宫内膜异位症的诊断与治疗规范[J].中华妇产科杂志,2007,42(9):645-648.
[12] 王艳艳,冷金花,史精华,等.子宫内膜异位症患者不同部位病灶中神经纤维分布及其与疼痛症状的关系[J].中华妇产科杂志,2010,45(4):260-263.