末端:一个四级分类来对子宫内膜异位症的外科复杂性进行评分
Adrien Crestani1, Yohann Dabi2, Sofiane Bendifallah3
1Department of Gynaecology and Obstetrics, Tenon University Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Sorbonne University, Paris 75020, France; UMRS 938, Centre de recherche Saint Antoine, Faculté de Médecine Sorbonne Université, Paris 75012, France.
Journal of gynecology obstetrics and human reproduction
|July 20, 2023
概括
ENDOGRADE分类有效预测子宫内膜异位症的外科复杂性,与增加的手术时间和更高的并发症率相关. 该工具有助于评估深层子宫内膜异位症 (DE) 的手术风险.
科学领域:
- 生殖医学 生殖医学
- 手术瘤学手术瘤学
- 妇科外科手术 妇科外科
背景情况:
- 深层子宫内膜异位症 (DE) 带来了重大的外科手术挑战.
- 对手术复杂性的准确分类对于患者管理和风险评估至关重要.
研究的目的:
- 评估ENDOGRADE分类系统,用于对患有深层子宫内膜异位症 (DE) 的女性进行手术复杂性的分级.
- 确定ENDOGRADE等级与操作结果之间的相关性,包括操作时间和并发症率.
主要方法:
- 一项回顾性单心观察性研究包括了764名在2001年至2019年期间接受手术的DE女性.
- 手术复杂性以后归类,使用基于操作报告的ENDOGRADE分类.
- 分析的结果包括操作时间,术前和术后并发症.
主要成果:
- 较高的ENDOGRADE等级 (3和4) 与较低的等级 (2和3) 相比,与明显更长的运行时间有关.
- 在更高的ENDOGRADE等级 (3和4) 中,术后并发症更为频繁.
- 与1级相比,ENDOGRADE 2级,3级和4级患者的术后并发症风险明显增加,几率比率从10.3到38.3不等 (多变量分析:ORs 16.0-104.2).
结论:
- ENDOGRADE分类是评估深层子宫内膜异位症手术复杂性的宝贵工具.
- 这种分类系统与手术时间以及手术前后并发症的发生有显著的相关性.
- ENDOGRADE分级可以帮助进行术前风险分层和对子宫内膜异位症的手术规划.
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