病变大小和局部化对肠子内膜异位症症状严重性的影响
Yuliia Ocheretna1, Natalia Rozhkovska1, Vitaliy Kozhakov1
1Department of Gynecology and Obstetrics, Odesa National Medical University, Odesa, Ukraine.
Frontiers in medicine
|March 2, 2026
概括
肠子内膜异位症中的大直肠结节与严重的疼痛和出血有关. 额外的肠病变会增加胀气和血症的严重程度,影响患者的症状.
科学领域:
- 胃肠病学 胃肠病学
- 妇科 妇科医生 妇科
- 手术病理学手术病理学
背景情况:
- 肠子内膜异位症 (IE) 会导致显著的胃肠道 (GI) 症状,如腹和功能障碍.
- 在IE中,病变特征和症状严重程度之间的关系尚不清楚.
- 准确的手术前评估对于IE的诊断,治疗计划和手术管理至关重要.
研究的目的:
- 在被诊断患有肠子内膜异位症的妇女中评估手术前症状.
- 用#Enzian分类来确定病变局部和大小对疼痛和胃肠道症状严重性的影响.
主要方法:
- 对135名腹腔镜确诊IE患者的回顾性分析.
- 根据恩齐安系统进行病变定位和大小的手术内分类.
- 分析疼痛 (失调,失调,失调) 和胃肠道症状 (便秘,腹,腹痛,胀气,恶心,便失禁,血).
主要成果:
- 89.6%的患者经历了疼痛和/或胃肠道症状.
- 大型直肠结节 (#Enzian C3) 与增加的腹,血和腹痛相关 (p < 0.001).
- 血症仅发生在#Enzian C区参与时;胀气的风险增加了额外的肠病变 (#Enzian FI).
结论:
- 大型直肠子宫内膜异位症病变 (#Enzian C3) 显著加剧腹,腹痛和血.
- 额外的肠病变 (#Enzian FI) 的存在与更严重的血和更高的膨胀风险有关.
- #恩齐安分类有助于将损伤特征与肠子内膜异位症症状严重程度相关联.
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