患有病理确认子宫内膜异位症的青少年患者的特征和手术前管理:一项多机构研究
Katherine C Bergus1, Brenna Rachwal1, Lindsey Asti1
1Center for Surgical Outcomes Research, Abigail Wexner Research Institute and Department of Surgery, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio.
青少年子宫内膜异位症患者经常经历严重的疼痛和大量出血,错过学校. 大多数人试图在手术前进行激素治疗,但护理涉及多名专家. 早期诊断仍然是一个挑战.
科学领域:
- 儿科妇科 儿科妇科
- 青少年医学 青少年医学
- 子宫内膜异位症研究研究
背景情况:
- 子宫内膜异位症是青少年常见的妇科疾病.
- 这一年龄段的诊断和管理可能具有挑战性.
- 早期疾病呈现的特征对于及时干预至关重要.
研究的目的:
- 描述患有子宫内膜异位症的年轻患者的人口统计.
- 分析使用的手术前医疗管理策略.
- 识别常见的症状和医疗保健利用模式.
主要方法:
- 对305名22岁以下的患者进行了回顾性队列研究.
- 数据来自美国中西部8家儿科医院.
- 包括人口统计,病史,症状和之前的治疗.
主要成果:
- 呈现时的平均年龄为15.6岁;大多数患者是白人.
- 常见的症状包括渐进性经期障碍,大量月经出血和错过学校.
- 几乎所有患者 (92.8%) 在腹腔镜检查之前尝试过激素抑制,使用各种方法.
结论:
- 青春期子宫内膜异位症通常伴有明显的疼痛和月经不规则.
- 患者寻求不同专家的护理,突出了协调管理的必要性.
- 虽然激素抑制是常见的,但治疗方法的差异很大.
更多相关视频
06:24Fertility Sparing Procedure using Carbon Dioxide Fiber Laser Vaporization of Ovarian Endometrioma
Published on: July 6, 2022
07:20Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
Published on: December 21, 2012
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Oogenesis
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Disorders of the Female Reproductive System
