泌尿道子宫内膜异位症:重新审视尿道溶解的定义
Constance Durant Des Aulnois1, Léo Razakamanantsoa2, Adrien Crestani1
1Department of Gynecology-Obstetrics and Reproductive Medicine, Hôpital Tenon, Sorbonne University, Paris, France.
概括
泌尿道子宫内膜异位症 (UTE) 影响超过10%的深度子宫内膜异位症患者. 手术管理是安全的,复发率低,强调需要专家中心护理.
科学领域:
- 妇科外科手术 妇科外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 子宫内膜异位症研究研究
背景情况:
- 深层透性子宫内膜异位症经常涉及泌尿道,造成复杂的手术挑战.
- 尿路子宫内膜异位症 (UTE) 需要专门的管理,以防止并发症,并确保最佳的患者结果.
研究的目的:
- 为了确定患有深层子宫内膜异位症的患者的尿道瘤发病率.
- 为了分析手术干预,并发症率,和UTE管理后的复发.
- 在法国的UTE专家中心评估结果.
主要方法:
- 在2016-2022年期间治疗的923名患有深层子宫内膜异位症的患者的回顾性分析.
- 纳入标准:部分膀切除,尿路解剖或尿路切除深层子宫内膜异位症.
- 收集了关于手术方法,尿路手术,相关手术和并发症的数据.
主要成果:
- 在923名患者中,99人 (10.7%) 确诊了尿道瘤.
- 膀手术 (41次部分囊切除术) 和尿道手术 (70次尿道溶解,16次切除) 是常见的.
- 在94%的病例中使用了腹腔镜,17.2%需要重新干预,3%的病例复发.
结论:
- 在可接受的并发症率下,UTE的保守管理是可行的.
- 转诊中心的多学科护理对于有效的UTE管理至关重要.
- 适当的手术前评估对于UTE患者至关重要.
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