在患有深度子宫内膜异位症的患者中,造成不可逆转的单边功能丧失的危险因素
María-Angeles Martínez-Zamora1, Eduard Mensión2, Judith Martínez-Egea2
1Department of Gynecology. Institute Clinic of Gynecology, Obstetrics and Neonatology, Hospital Clinic of Barcelona. Faculty of Medicine, Institut d´Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, Villarroel St., 170, 08036, Barcelona, Spain. mazamora@clinic.cat.
Scientific reports
|July 24, 2023
概括
深层子宫内膜异位症 (DE) 可以导致损伤. 不孕不育,无症状呈现,肠道DE和特定的成像症状是DE患者不可逆转的功能丧失的关键危险因素.
科学领域:
- 妇科 妇科 妇科 妇科
- 腎臟病學 (nephrology) 是一種醫學.
- 放射学 放射学是一门学科.
背景情况:
- 深层子宫内膜异位症 (DE) 是子宫内膜异位症的一种侵袭性形式.
- 尿道阻塞可能导致严重的并发症,包括由于尿道阻塞导致的功能不可逆转的丧失.
研究的目的:
- 鉴定ED患者具有不可逆转的单边功能丧失的临床和放射性特征.
- 为了确定与这种脏并发症相关的危险因素.
主要方法:
- 对436名接受腹腔镜DE手术的患者进行了回顾性队列研究.
- 保存功能患者与不可逆转的损失患者之间的比较.
- 评估流行病学,临床和放射学变量.
主要成果:
- 与非损失组 (n=421) 相比,损失组 (n=15) 的不孕率更高,无症状患者更多.
- 显著的放射性差异包括更大的子宫内膜瘤直径,肠道DE的存在,以及负滑动标志.
- 多变量分析确定了不孕症,无症状状态,肠道DE,子宫/子宫神经带DE和负滑动标志作为功能损失的重要危险因素.
结论:
- 特定的临床和放射学因素增加了ED患者不可逆转的功能丧失的风险.
- 在患有这些风险因素的ED患者中,针对严重的尿路阻塞进行例行查至关重要.
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