盆腔子宫内膜异位症的流行病学和临床特征——病例系列
Epidemiological and clinical aspects of pelvic endometriosis–a case series.
作者信息
Bellelis Patrick, Dias João Antônio, Podgaec Sergio, Gonzales Midgley, Baracat Edmund Chada, Abrão Maurício Simões
机构信息
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP.
出版信息
Rev Assoc Med Bras (1992). 2010 Jul-Aug;56(4):467-71. doi: 10.1590/s0104-42302010000400022.
OBJECTIVE
To describe clinical and epidemiological aspects of patients with pelvic endometriosis who underwent laparoscopy at our service.
METHODS
Retrospective study of 892 post-laparoscopy patients with histologically confirmed diagnosis of endometriosis.
RESULTS
Mean age was 33.2 ± 6.3 years, and 78.7% of patients were Caucasian. We found that 76.9% of women in the sample had a higher education. Most (56.5%) patients were nulliparous, and 62.2% reported dysmenorrhea as the chief complaint. Chronic pelvic pain was the most prevalent symptom, followed by deep dyspareunia, reported by 56.8% and 54.7% of patients respectively. Infertility was reported by 39.8% of the 892 patients in the sample.
CONCLUSION
Endometriosis is most often diagnosed in the fourth decade of life. Patients with this condition present with multiple complaints, and must always undergo thorough questioning to properly guide diagnosis and monitor treatment results.
目的
描述在我院接受腹腔镜检查的盆腔子宫内膜异位症患者的临床和流行病学特征。
方法
对892例腹腔镜检查术后经组织学确诊为子宫内膜异位症的患者进行回顾性研究。
结果
平均年龄为33.2±6.3岁，78.7%的患者为白种人。我们发现样本中76.9%的女性受过高等教育。大多数（56.5%）患者未生育，62.2%的患者以痛经为主要诉求。慢性盆腔疼痛是最常见的症状，分别有56.8%和54.7%的患者报告有深部性交困难。样本中的892例患者中有39.8%报告有不孕。
结论
子宫内膜异位症最常于生命的第四个十年被诊断出来。患有这种疾病的患者有多种症状，必须始终进行全面询问，以正确指导诊断并监测治疗效果。
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