使用现实数据的流行病学:生殖年龄妇女的深层子宫内膜异位症
Nilson Abrão Szylit1, Luciana Cristina Pasquini Raiza1, Anucha Andrade Schindler Leal1
1Hospital Israelita Albert Einstein, São Paulo, SR Brazil.
Einstein (Sao Paulo, Brazil)
|March 26, 2025
概括
深度子宫内膜异位症的患病率在生育年龄的妇女中为6.4%,在患有盆腔疼痛的妇女中为34.2%. 可触摸的后部死胡同结节和逆转的子宫是子宫内膜异位症的关键指标.
科学领域:
- 妇科 妇科 妇科 妇科
- 流行病学 流行病学
- 医疗成像医学成像
背景情况:
- 子宫内膜异位症的特征是子宫外的子宫内膜组织,影响生殖年龄的女性.
- 之前的研究还没有广泛研究门诊环境中深层子宫内膜异位症的患病率.
- 这项研究利用了巴西一家公共初级保健诊所的现实数据.
研究的目的:
- 为了确定生育年龄的妇女中症状深层子宫内膜异位症的患病率.
- 为了确定与深层子宫内膜异位症相关的临床因素.
主要方法:
- 从2017年到2021年进行了一项描述性流行率和横截面观察性研究.
- 包括生育年龄的妇女,表现出诸如深度失精症,失经症或不孕症等症状.
- 盆腔和阴道超声波用于诊断.
主要成果:
- 在生育年龄的妇女中发现深层子宫内膜异位症的患病率为6.4% (n=1,445).
- 在患有盆腔疼痛的女性中,深层子宫内膜异位症的患病率为34.2%.
- 可触摸的后部死角结节 (OR=3.58) 和逆转的子宫 (OR=2.36) 与子宫内膜异位症有显著的关联.
结论:
- 深度子宫内膜异位症的患病率在生育年龄妇女中为6.4%,在有骨盆疼痛的妇女中为34.2%.
- 临床发现可触摸的后部死胡同结节和逆转的子宫是子宫内膜异位症的重要指标.
- 这项研究提供了关于拉丁美洲子宫内膜异位症患病率的关键现实数据.
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