乌克兰子宫内膜异位症流行病学:多中心研究 (2019-2021) 的结果
Aidyn G Salmanov1, Oleksandr M Yuzko2, Bohdan Yu Tofan2
1SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE; INSTITUTE OF PEDIATRICS, OBSTETRICS AND GYNECOLOGY OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE.
概括
子宫内膜异位症影响乌克兰28.4%的妇女,腹/表面和卵巢类型是最常见的. 风险因素包括早期初潮和不孕症,突出了改善医疗保健策略的必要性.
科学领域:
- 妇科和生殖健康 妇科和生殖健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 子宫内膜异位症是一种普遍的妇科疾病,影响生育年龄的女性.
- 了解特定人群中子宫内膜异位症的流行病学特征和风险因素对于公共卫生倡议至关重要.
研究的目的:
- 确定乌克兰子宫内膜异位症的流行和发病率.
- 确定与乌克兰妇女子宫内膜异位症相关的危险因素.
主要方法:
- 一项从2019年1月到2021年12月进行的多中心研究,涉及来自乌克兰15个地区的青少年女孩和成年女性.
- 采用横截面和病例控制研究设计来评估发生和相关因素.
- 包括一个15458名患者的队列.
主要成果:
- 在15458名患者中观察到子宫内膜异位症的患病率为28.4%.
- 腹膜/表面性子宫内膜异位症 (SPE) 是最常见的 (13.8%),其次是卵巢子宫内膜异位症囊/子宫内膜瘤 (OMA) (9.8%),以及深层透性子宫内膜异位症 (DIE) (4.8%).
- 确定的危险因素包括23-32岁,较低的平价,初潮早 (<11岁),不孕史,特定的妇科感染,以及失经和失色症等症状.
结论:
- 子宫内膜异位症是乌克兰常见的妇科疾病,卵巢和腹膜类型是最常见的.
- 这些发现强调了需要加强医疗保健服务和公共卫生战略,以促进青少年女孩和成年妇女的子宫内膜异位症的早期诊断和治疗.
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