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子宫内膜异位症患者的腹腔镜阑尾切除术

Laparoscopic appendectomy in patients with endometriosis.

作者信息

Berker Bulent, Lashay Nanette, Davarpanah Romina, Marziali Massimilano, Nezhat Ceana H, Nezhat Camran

机构信息

Center for Special Minimally Invasive Surgery, Stanford University Medical Center, Palo Alto, California 94304, USA.

出版信息

J Minim Invasive Gynecol. 2005 May-Jun;12(3):206-9. doi: 10.1016/j.jmig.2005.03.003.

DOI:10.1016/j.jmig.2005.03.003
PMID:15922976
Abstract

STUDY OBJECTIVE

To report the frequency and spectrum of histologically proved diseases of the appendix in patients undergoing laparoscopic surgery for chronic pelvic pain in conjunction with endometriosis in a tertiary referral center.

DESIGN

Patient database with retrospective chart review (Canadian Task Force classification II-3).

SETTING

University ambulatory endoscopic surgery center-tertiary referral center.

PATIENTS

Two hundred thirty-one women.

INTERVENTIONS

Appendectomy during laparoscopic surgery for endometriosis.

MEASUREMENTS AND MAIN RESULTS

We reviewed the medical records of 231 patients who underwent appendectomy during laparoscopic treatment of endometriosis performed from January 1994 through July 2004. Of the 231 patients with pelvic endometriosis, concomitant appendiceal pathology was present in 115.

CONCLUSION

The appendix may be involved and may contribute to pelvic pain in patients with endometriosis.

摘要

研究目的

在一家三级转诊中心,报告因慢性盆腔疼痛接受腹腔镜手术且合并子宫内膜异位症患者中经组织学证实的阑尾疾病的发生率及谱。

设计

回顾性病历审查的患者数据库(加拿大工作组分类II-3)。

地点

大学门诊内镜手术中心——三级转诊中心。

患者

231名女性。

干预措施

子宫内膜异位症腹腔镜手术期间行阑尾切除术。

测量指标及主要结果

我们回顾了1994年1月至2004年7月期间因子宫内膜异位症接受腹腔镜治疗时行阑尾切除术的231例患者的病历。在231例盆腔子宫内膜异位症患者中,115例存在阑尾病变。

结论

阑尾可能受累,并可能导致子宫内膜异位症患者的盆腔疼痛。

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