对卵巢内膜瘤自然进展的超声波研究
1EGA Institute for Women's Health, Faculty of Population Health Sciences, University College London, London, UK.
概括
大多数卵巢内膜瘤不会显著增加大小,可以预期管理. 这种方法适用于无症状或最小症状的女性,有助于对卵巢囊进展的临床咨询.
科学领域:
- 妇科 妇科医生 妇科
- 生殖医学 生殖医学
- 医疗成像医学成像
背景情况:
- 卵巢内膜瘤是常见的妇科疾病.
- 自然进展和最佳管理策略需要进一步阐明.
研究的目的:
- 为了研究卵巢内膜瘤在预期管理的妇女的自然进展.
- 为指导临床管理决策提供证据.
主要方法:
- 对83名卵巢内膜瘤妇女进行了回顾性队列研究,预期管理.
- 超声波监测至少6个月,由一个专家操作员进行.
- 对囊大小变化,生长速度和预测性临床特征的分析.
主要成果:
- 47%的女性表现出囊大小的减少,22%的女性表现出囊大小的增加,31%的女性没有显著变化.
- 年平均回归率为-1.7毫米/年.
- 与初次诊所相比,随访时囊显著减少 (P=0.009).
结论:
- 大多数卵巢内膜瘤不会随着时间的推移显著增加大小.
- 对于大多数患有卵巢内膜瘤的妇女来说,预期的管理是可行的选择.
- 研究结果支持临床医生为无症状或最小症状病例的患者提供预期管理咨询.
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