带有结肠和直肠干扰的子宫内膜异位症:142名患者的手术方法和结果
Abigail Christiansen1, Tara M Connelly2, Eddy P Lincango2
1Department of General Surgery, Cleveland Clinic Akron General, Akron, OH, USA.
Langenbeck's archives of surgery
|September 29, 2023
概括
结直肠子宫内膜异位症 (CRE) 的有限切除可以减少并发症,但可能会增加复发. 需要进一步的研究来平衡手术结果和长期疾病管理.
科学领域:
- 胃肠病学 胃肠病学
- 妇科外科手术 妇科外科
- 在瘤学瘤学.
背景情况:
- 结直肠子宫内膜异位症 (CRE) 是一种具有挑战性的疾病,需要手术干预.
- 有各种不同的手术技术来管理CRE,每个都有潜在的好处和缺点.
研究的目的:
- 评估有限切除技术与30天并发症,症状改善和CRE患者复发之间的关联.
- 为了确定影响CRE手术后结果的风险因素.
主要方法:
- 在2010年至2018年期间接受CRE手术的142名患者的回顾性评估.
- 分析手术方法,风险因素和结果之间的关联,包括症状改善,30天的并发症和复发.
- 多变量后勤回归用于识别独立的风险因素.
主要成果:
- 与细分切除相比,表面的部分厚度切除与明显较低的并发症率有关.
- 诸如西格体干涉,口腔形成和细分切除术等因素与小并发症和重大并发症的增加有关.
- 复发率为19.1%,开放式手术显示出复发率较低的趋势和与复发率较高相关的表面部分厚度切除.
结论:
- 将切除限于部分厚度或全厚度圆盘切除可能会改善手术并发症概况.
- 然而,这些更有限的方法可能与子宫内膜异位症复发的风险增加有关.
- 对CRE的手术策略应该仔细权衡并发症率和复发风险之间的权衡.
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