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深层子宫内膜异位症的最小侵入性手术后的泌尿后果:一个系统性审查

Giuseppe Mascellino¹, Antonio Simone Laganà¹, Marco Anatrà²

¹Unit of Obstetrics and Gynecology, "Paolo Giaccone" Hospital - Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, Palermo, Italy.

International journal of women's health

|November 24, 2025

概括

深层子宫内膜异位症 (DE) 的最小侵入性手术可以改善下泌尿道症状 (LUTS),特别是在严重的情况下. 然而,一些患者可能会经历尿路功能恶化,强调需要仔细选择患者和节约神经的技术.

科学领域:

妇科妇科妇科妇科
泌尿器科泌尿器科泌尿器科泌尿器科
外科手术的结果

背景情况:

深层子宫内膜异位症 (DE) 经常影响盆腔器官,并可能导致下泌尿道症状 (LUTS).
针对ED的微创手术 (MIS) 对术后泌尿功能的影响尚未得到充分证实.
手术期间的神经干扰可能会在术后进一步复杂化泌尿功能.

研究的目的:

系统地审查经腹腔镜或机器人手术后的术后泌尿外科医学的结果.
评估MIS对深度子宫内膜异位症妇女下尿道症状 (LUTS) 的影响.
为了确定影响DE切除后尿功能结果的因素.

主要方法:

对过去25年的研究进行PubMed,Scopus和Cochrane图书馆的系统审查.
包括通过经过验证的问卷或尿动力学测试在接受DEMIS的妇女中评估术后泌尿结果的研究.
使用纽卡斯尔-太华尺度进行质量评估.

主要成果:

9项研究 (20-289名参与者) 符合纳入标准.
六项研究报告了紧迫性,频率和失尿症的显著改善,特别是在中度至重度的手术前LUTS患者中.
三项研究指出,尿路功能没有变化或恶化,特别是在基线症状很小或神经受影响很大的人群中.

结论:

针对ED的最小侵入性手术可能会在选定的患者中为LUTS提供症状缓解,特别是使用神经节约方法.
功能性恶化是一个风险,特别是在基线LUTS最小或神经广泛参与的患者中.
需要进一步研究标准化措施和前性试验,以优化患者选择和手术技术.

关键词:

深度子宫内膜异位症是什么微创手术是最少的侵入性手术.这是一项神经节约性手术.尿路功能尿路功能尿路症状尿路症状

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