尾性子宫内膜异位症:对文献的全面审查
Leila Allahqoli1, Afrooz Mazidimoradi2, Zohre Momenimovahed3
1Ministry of Health and Medical Education, Tehran 1467664961, Iran.
Diagnostics (Basel, Switzerland)
|June 10, 2023
概括
尾内膜异位症在尾炎病例中的2.67%和妇科手术中的7.23%中被发现. 在子宫内膜异位症手术期间进行尾切除是安全的,在审查的病例中没有报告的并发症.
科学领域:
- 妇科 妇科 妇科 妇科
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 子宫内膜异位症是一种类似于子宫内膜的组织在子宫外生长的情况.
- 尾内膜异位症虽然很少见,但可以模仿急性尾炎的症状,或者在手术期间偶然发现.
- 尾内膜异位症的管理,特别是同时尾切除术的安全性,需要进一步评估.
研究的目的:
- 为了确定影响尾的子宫内膜异位症的患病率.
- 为了评估同时进行尾切除术和治疗子宫内膜异位症或盆腔疼痛的手术的安全性.
主要方法:
- 在主要的电子数据库 (Medline,Scopus,Embase,Web of Science) 中进行了全面的文献搜索.
- 包括报告有关尾内膜异位症或子宫内膜异位症妇女尾切除的数据的研究.
- 分析了1975年至2021年间发表的75项精选研究的数据.
主要成果:
- 尾内膜异位症在2.67%的急性尾炎的妇女中被发现,而7.23%的妇女在妇科手术期间偶然发现.
- 对并发尾切除术11项研究的分析显示,没有显著的手术内或短期 (12周) 随访并发症.
- 患病率各不相同,尾内膜异位症发生在0.36-23%的尾炎病例和1-44.3%的偶然发现中.
结论:
- 尾性子宫内膜异位症存在于女性中显著的百分比,因为妇科疾病或尾炎而接受手术.
- 在子宫内膜异位症手术期间同时进行尾切除术是一种安全的手术,并发症率低.
- 这些发现支持在妇科手术期间怀疑或偶发的尾内膜异位症的情况下考虑尾切除.
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