子宫内膜异位症临床表现的全球变异性:一个范围审查
F Kathrada1, A Van Eyk2, L Chauke3
1Division of Clinical Pharmacy, Department of Pharmacy and Pharmacology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Women & health
|February 23, 2026
概括
报告子宫内膜异位症的症状在全球范围内非常多样化,常见的症状如失经不一致地记录. 为了更好的诊断和护理,需要标准化的评估工具.
科学领域:
- 生殖健康 生殖健康
- 医学研究方法学 医学研究方法学
- 症状学 症状学 症状学
背景情况:
- 子宫内膜异位症影响10-15%的生育年龄妇女.
- 在全球范围内,子宫内膜异位症的临床表现报告不一致.
- 现有的症状报告缺乏标准化,阻碍了研究和护理.
研究的目的:
- 为绘制与子宫内膜异位症相关症状的全球范围.
- 检查影响子宫内膜异位症症状报告的因素.
- 确定改善症状评估框架的需求.
主要方法:
- 根据JBI框架进行的范围审查.
- 在两个数据库中搜索了2004-2024年间发表的研究.
- 包括最初选的1286篇文章中的95篇文章.
主要成果:
- 在多个器官系统中确定了49种不同的子宫内膜异位症相关症状.
- 最常见的症状:经期不良,盆腔疼痛,腹腔失调.
- 症状评估方法 (例如,数值评分表) 的显著异质性以及症状周期性和少数群体报告的不一致性.
结论:
- 在子宫内膜异位症症状分类和测量的实质性异质性阻碍了对疾病负担的理解.
- 需要标准化,文化敏感,多维的症状评估框架.
- 改进的框架将提高子宫内膜异位症研究和护理的诊断准确性,公平性和全球可比性.
相关概念视频
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
977
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
977
01:24Disorders of the Female Reproductive System
4.6K
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
4.6K
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
668
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
668
01:28Esophageal Varices-II: Clinical Features and Management
658
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
658
01:25Endocarditis II: Clinical Features of Infective Endocarditis
605
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
605