患有炎症性肠道疾病的患者中深层透性子宫内膜异位症的高频率:一项嵌套病例对照研究
Benedetto Neri1, Consuelo Russo2, Michelangela Mossa3
1Gastroenterological Unit, Department of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy, benedettoneri@gmail.com.
Digestive diseases (Basel, Switzerland)
|July 2, 2023
概括
子宫内膜异位症是一种慢性炎症性疾病,在三分之二的炎症性肠病 (IBD) 患者中发现了类似症状. 深层透性子宫内膜异位症和后腺菌症在IBD患者中更为常见.
科学领域:
- 妇科 妇科医生 妇科
- 胃肠病学 胃肠病学
- 生殖健康 生殖健康
背景情况:
- 炎症性肠病 (IBD) 和子宫内膜异位症是影响年轻女性的慢性炎症疾病.
- 这两种情况都有重叠的临床表现,需要多学科的方法来准确诊断.
- 调查IBD患者的骨盆内膜异位症是非常重要的,因为他们有共同的症状.
研究的目的:
- 为了比较IBD患者的骨盆内膜异位症的症状,类型和位置与非IBD对照.
- 为了确定与IBD相关的特定子宫内膜异位症特征.
- 加强对IBD患者子宫内膜异位症的诊断考虑.
主要方法:
- 一项前性嵌套病例控制研究招募了绝经前IBD患者,其症状与子宫内膜异位症相容.
- 通过阴道的超声波 (TVS) 用于诊断骨盆内膜异位症.
- IBD病例与基于年龄和BMI的非IBD对照进行了匹配.
主要成果:
- 在71%的IBD患者中,子宫内膜异位症被诊断为具有相容症状 (克罗恩病和性结肠炎) 的患者.
- 在内膜异位症患者中,腹膜异位症和腹膜异位症的频率显著增加.
- 深层透性子宫内膜异位症 (DIE) 和后腺菌症在IBD患者中明显更为普遍.
结论:
- 宫内膜异位症经常在IBD患者中检测到具有相关症状的患者.
- 患有子宫内膜异位症的IBD患者显示DIE和后部腺菌症的发病率较高.
- 在IBD患者中应考虑子宫内膜异位症,因为其症状可以模仿IBD活动.
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