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芬兰数据:膀胱子宫内膜异位症的发病率是否在增加?

Is the incidence of urinary bladder endometriosis increasing? Figures from Finland.

机构信息

Department of Surgery, Division of Urology, Oulu University Hospital, Oulu, Finland.

出版信息

Gynecol Obstet Invest. 2010;70(1):55-9. doi: 10.1159/000288161. Epub 2010 Feb 25.

DOI:10.1159/000288161
PMID:20185920
Abstract

OBJECTIVE

Urinary bladder endometriosis is a severe form of endometriosis often requiring surgery. The several cases treated at our hospital in recent years has led us to evaluate the incidence of urinary bladder endometriosis in Finland.

METHODS

We performed a register-based analysis of incidence of urinary bladder endometriosis. The patients were identified according to registered diagnosis and operation codes.

RESULTS

Six urinary bladder endometriosis cases were diagnosed at Oulu University Hospital during 1991-2007. These cases have been presented. The annual incidence, as evaluated from The Finnish Care Register HILMO, increased from 3.6 to 9.4 cases/1,000,000 females aged 15-49 years per year during 1996-1999 and 2004-2007, respectively, in Finland.

CONCLUSION

There is an apparent increase in incidence of urinary bladder endometriosis in Finland. The low number of cases detected at Oulu University Hospital, and the limitations of the incidence evaluation based on the HILMO register, exclude the presentation of an accurate incidence. The results presented warrant further and careful evaluation of potential increases in urinary bladder endometriosis elsewhere.

摘要

目的

膀胱子宫内膜异位症是一种严重的子宫内膜异位症形式,通常需要手术治疗。近年来,我院对几例该病患者进行了治疗,这促使我们对芬兰的膀胱子宫内膜异位症发病率进行评估。

方法

我们对膀胱子宫内膜异位症的发病率进行了基于登记的分析。根据登记的诊断和手术代码来识别患者。

结果

1991-2007 年间,在奥卢大学医院诊断出 6 例膀胱子宫内膜异位症病例。这些病例已被提出。根据芬兰保健登记 HILMO 进行评估,1996-1999 年和 2004-2007 年期间,芬兰 15-49 岁女性的年发病率分别从每 100 万女性 3.6 例增加到 9.4 例。

结论

芬兰的膀胱子宫内膜异位症发病率明显增加。奥卢大学医院发现的病例数量较少,以及基于 HILMO 登记的发病率评估的局限性,排除了准确发病率的呈现。提出的结果需要进一步仔细评估其他地方膀胱子宫内膜异位症的潜在增加。

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