基于日本现实数据的子宫内膜异位症流行病学
Mizuki Ohashi1, Jun Matsubayashi2, Kana Sugeta3
1Department of Obstetrics and Gynaecology, Shiga University of Medical Science, Seta, Tsukinowa-cho, Otsu, Shiga, 520-2192, Japan; Department of General Medicine, Juntendo University Faculty of Medicine, Yushima, 1-5-29, Bunkyo-ku, Tokyo, 113-0034, Japan.
Reproductive biomedicine online
|February 15, 2026
概括
在日本,子宫内膜异位症的患病率正在上升,到2022年将影响超过3.6%的女性. 大约三分之一的女性可能会患上子宫内膜异位症,五分之一需要药物治疗,强调需要更好的认识和护理.
科学领域:
- 生殖医学 生殖医学
- 流行病学 流行病学
- 妇女健康 妇女健康
背景情况:
- 延迟怀孕年龄是一个日益增长的趋势.
- 日本的子宫内膜异位症流行病学需要更新的见解.
- 现实世界的数据可以揭示疾病模式.
研究的目的:
- 确定目前日本子宫内膜异位症的流行病学.
- 分析流行,发病率和药物使用模式.
- 用一个大规模的,现实世界的数据集进行全面的分析.
主要方法:
- 日本医疗保险数据集 (2005-2023) 的描述性分析.
- 包括15岁以上的女性,至少有2年的随访数据.
- 结果措施:流行率,年龄特定发病率和累积发病率.
主要成果:
- 从2006年到2022年,子宫内膜异位症的患病率有所增加,达到3.62%.
- 在26岁时观察到的最高发病率;在老年人群中,腺髓瘤发病率高于子宫内膜瘤.
- 假设的累积发病率:整体子宫内膜异位症为37.34%,药物治疗病例为20.08%,两者都在增加.
结论:
- 到50岁时,子宫内膜异位症会影响大约三分之一的女性.
- 五分之一的妇女需要药物治疗子宫内膜异位症.
- 提高临床意识和改进管理策略至关重要.
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