Department of Obstetrics and Gynecology, Sacro Cuore Don Calabria General Hospital, Negrar, Verona, Italy.
Acta Obstet Gynecol Scand. 2011 Feb;90(2):136-9. doi: 10.1111/j.1600-0412.2010.01008.x. Epub 2010 Dec 2.
A detailed picture of the prevalence and distribution of abdomino-pelvic endometriosis in more that 1,500 cases of endometriosis stage IV is presented. A great prevalence of endometriotic localizations in the posterior pelvic compartment compared to the other quadrants with more frequently observed lesions on the left part of the pelvis supports the menstrual reflux theory. The extent of anatomical sites suggests the opportunity to plan a proper preoperative instrumental study for patients with clinical suspect of severe endometriosis possibly to set a multidisciplinary clinical or surgical management.
本文呈现了 1500 多例 IV 期子宫内膜异位症病例中腹盆部子宫内膜异位症的患病率和分布情况的详细图片。与其他象限相比，后盆腔隔间中子宫内膜异位症的定位更为普遍，且骨盆左侧的病变更为常见，这支持了月经逆流理论。解剖部位的广泛程度表明，有必要为有严重子宫内膜异位症临床可疑的患者计划适当的术前仪器检查，以便进行多学科的临床或手术治疗。
