乌克兰的腹壁子宫内膜异位症:一个多中心研究
Aidyn G Salmanov1, Volodymyr V Artyomenko2, Victor O Rud3
1UKRAINIAN CENTER OF MATERNITY AND CHILDHOOD OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE; THE ZARIFA ALIYEVA INTERNATIONAL CENTER OF MEDICAL SCIENCE, KYIV, UKRAINE.
概括
腹壁子宫内膜异位症 (AWE) 影响了乌克兰4.2%的手术痕女性,最常发生在剖腹产后. 这种情况呈现为可触摸的质量和周期性疼痛,需要对病原体的确认才能诊断.
科学领域:
- 妇科 妇科医生 妇科
- 手术病理学手术病理学
- 流行病学 流行病学
背景情况:
- 子宫内膜异位症是一种类似于子宫内膜的组织在子宫外生长的情况.
- 腹壁子宫内膜异位症 (AWE) 是一种罕见的形式,通常与手术痕有关.
- 剖腹产痕性子宫内膜异位症 (CSE) 是AWE的一种亚型.
研究的目的:
- 为了确定乌克兰AWE的发病率.
- 分析CSE患者的临床,成像和组织病理学发现.
主要方法:
- 从2020年1月到2024年12月进行了一项多中心回顾性队列研究.
- 分析了来自乌克兰27家医院的9,157名生殖妇女的数据,这些妇女在手术痕区域有痛苦的质量.
- 子宫内膜异位症的定义遵循了世卫组织的指导方针.
主要成果:
- 在AWE的发病率为4.2% (387/9,157).
- 剖腹产痕子宫内膜异位症占AWE病例的82.2%.
- 主要症状包括可触摸的腹部质量 (100%) 和周期性疼痛 (86.8%). 从剖腹产到症状出现的潜伏期约为31.8个月.
结论:
- 在乌克兰,腹壁子宫内膜异位症相对不常见,通常是由产科或妇科手术痕引起的.
- 剖腹产痕子宫内膜异位症是本研究中观察到的最常见的AWE形式.
- 诊断依赖于组织病理学检查.
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