Department of Obstetrics and Gynecology, Ospedale Sacro Cuore, Verona, Italy.
Fertil Steril. 2010 May 1;93(7):2444-6. doi: 10.1016/j.fertnstert.2009.08.029.
In this retrospective cohort study, three groups of patients were included: 60 women who underwent endometriosis surgery with colorectal segmental resection, 40 women with surgical evidence of bowel endometriosis who underwent endometriosis removal without bowel resection, and 55 women affected by moderate or severe endometriosis with at least one endometrioma and deep infiltrating endometriosis but without bowel involvement. The results of a long-term ambulatory follow-up showed that if colorectal endometriosis was present, postoperative pain regression was more frequent, and among patients with bowel endometriosis the rate of recurrence was lower if segmental resection was performed.
在这项回顾性队列研究中,纳入了三组患者:60 名接受子宫内膜异位症手术合并结直肠节段切除术的女性患者,40 名有手术证据的肠道子宫内膜异位症而无肠切除术的女性患者,以及 55 名患有中重度子宫内膜异位症、至少有一个卵巢子宫内膜异位囊肿和深部浸润性子宫内膜异位症但无肠道受累的女性患者。长期门诊随访结果显示,如果存在结直肠子宫内膜异位症,术后疼痛缓解更为频繁,而对于肠道子宫内膜异位症患者,如果行节段切除术,复发率较低。