胸内膜异位症的临床特征和治疗:一项为期20年的单心回顾性研究
Dhouha Dridi1, Federica Liliana Ottolini2, Deborah Ambruoso2
1Gynecology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122, Milan, Italy. dhouha.dridi@policlinico.mi.it.
Archives of gynecology and obstetrics
|March 29, 2025
概括
胸内膜异位症 (TE) 管理涉及手术和药物选择. 大多数患者报告满意度和改善,表明这些治疗方法是治疗TE症状和复发的有效补充方法.
科学领域:
- 生殖医学 生殖医学
- 胸部外科手术 胸部外科手术
- 妇科瘤学 妇科瘤学
背景情况:
- 胸内膜异位症 (TE) 是最常见的子宫内膜异位症在骨盆外的位置,但它是罕见的.
- 没有确立的临床指导方针来管理TE.
- TE管理需要对患者满意度和治疗疗效进行评估.
研究的目的:
- 评估患者对胸内膜异位症治疗的满意度.
- 调查TE各种治疗方式的疗效.
- 分析TE患者的症状和病变复发率.
主要方法:
- 从第三级转诊中心 (2000年1月至2021年9月) 进行临床记录的回顾性审查.
- 对患者变量的频率分析.
- 卡普兰-梅尔方法用于时间到复发分析.
- 治疗意向分析.治疗意向分析.
主要成果:
- 50%的女性经历了肺胸部 (PNX).
- 61.7%接受了手术,36.6%接受了药物治疗.
- 手术后6个月和240个月的累积PNX复发率分别为0.26和0.82.
- 超过一半的患者表示对治疗和整体改善感到满意.
结论:
- 手术和药物治疗都是TE的可行选择.
- 治疗TE应该被认为是互补的,而不是相互排斥的.
- 患者满意度和症状改善是TE管理的关键结果.
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