从第一个喘不过气的情节到最终的诊断和治疗:胸内膜异位症综合征的病例报告
Katarzyna Pietrzak1, Anna Weronika Szablewska2, Bartosz Pryba1
1Independent Monoprofile Medical Simulation Laboratory, Institute of Nursing and Midwifery, Medical University of Gdańsk, Sklodowskiej-Curie 3A, 80-210 Gdańsk, Poland.
Journal of clinical medicine
|September 13, 2025
概括
胸内膜异位症综合征 (TES) 的延迟诊断严重加重患者的负担,凸显了多学科护理的必要性. 早期干预和提高临床意识对于改善这种罕见的外阴疾病的结果至关重要.
科学领域:
- 妇科 妇科 妇科 妇科
- 肺部病理学 肺部病理学
- 手术病例报告 手术病例报告
背景情况:
- 子宫内膜异位症的特征是子宫外的子宫内膜异位状组织,可以在胸部表现为胸内膜异位症综合征 (TES).
- TES呈现出与月经相关的周期性胸部症状,由于异常症状和临床意识低,往往导致延迟诊断.
- 这种延迟导致管理不善,增加了患者负担,并产生了显著的心理社会影响.
研究的目的:
- 要提交一个患有胸内膜异位症综合征 (TES) 的女性患者的病例报告.
- 为了强调TES患者的长时间诊断和治疗间隔.
- 突出需要多学科管理和改善外骨盆内膜异位症的诊断途径.
主要方法:
- 使用了遵循CARE指南的案例报告.
- 该病例涉及一名42岁的女性患者,患有经历不经期经期和不经期经期,患有周期性胸痛和呼吸障碍.
- 诊断和治疗干预包括多次胸腔镜手术,腹腔镜手术和使用Dienogest的激素治疗.
主要成果:
- 该患者经历了一段长时间的诊断旅程,从2019年到2025年,最初的误诊和持续的症状.
- 在手术期间的发现揭示了隔膜化,随后针对隔膜的腹腔镜干预导致了显著的症状缓解.
- 荷尔蒙治疗Dienogest导致显著改善生活质量,尽管长期疾病的严重心理社会影响.
结论:
- 延迟对TES的认可导致了大量的患者负担和分散的护理.
- 对于患有外骨盆内膜异位症的患者,迫切需要协调,多学科的管理和心理支持.
- 早期的多学科评估,手术干预和个性化激素治疗,再加上提高临床意识,可以改善TES患者的结果.
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