Department of Gynecology, Sugisawa Medical Center, Curitiba, Paraná, Brazil.
J Minim Invasive Gynecol. 2013 Jan-Feb;20(1):100-3. doi: 10.1016/j.jmig.2012.09.012.
To estimate the presence of ureteral involvement in deep infiltrating endometriosis (DIE) affecting the retrocervical area.
Retrospective study of women undergoing laparoscopic treatment of DIE affecting the retrocervical area.
Canadian Task Force classification II-3.
Tertiary referral private hospital.
We evaluated 118 women who underwent laparoscopy for the treatment of retrocervical DIE lesions between January 2010 and March 2012.
All women underwent laparoscopic surgery for the complete treatment of DIE. After surgery all specimens were sent for pathologic examination to confirm the presence of endometriosis.
Patients with pathologically-confirmed retrocervical DIE were divided into 2 groups according to the size of the lesion (group 1: lesions ≥ 30 mm; group 2: lesions < 30 mm) and the rate of ureteral endometriosis was compared between both groups.
Ureteral involvement was present in 17.9% (95% confidence interval [CI] 10%-29.9%) of women with retrocervical lesions ≥ 30 mm whereas in only 1.6% (95% CI 0.4%-8.5%) of those with lesions <30 mm (odds ratio = 13.3 [95% CI 1.6-107.3]).
Patients undergoing surgery for retrocervical DIE lesions ≥ 30 mm in diameter have a greater risk of having ureteral involvement (17.9%).
评估累及输尿管的深部浸润型子宫内膜异位症（DIE）在累及宫颈后区的存在。
对接受腹腔镜治疗累及宫颈后区的 DIE 的女性进行的回顾性研究。
加拿大任务组分类 II-3。
三级转诊私立医院。
我们评估了 2010 年 1 月至 2012 年 3 月期间因累及宫颈后区的 DIE 病变而接受腹腔镜治疗的 118 名女性。
所有女性均接受腹腔镜手术以彻底治疗 DIE。手术后，所有标本均被送去进行病理检查以确认是否存在子宫内膜异位症。
根据病变大小（第 1 组：病变≥30mm；第 2 组：病变<30mm）将经病理证实患有累及宫颈后区的 DIE 的患者分为 2 组，并比较两组之间输尿管子宫内膜异位症的发生率。
累及输尿管的发生率在病变≥30mm 的累及宫颈后区的女性中为 17.9%（95%置信区间[CI]：10%-29.9%），而在病变<30mm 的女性中仅为 1.6%（95% CI：0.4%-8.5%）（比值比[OR] = 13.3[95% CI：1.6-107.3]）。
接受手术治疗直径≥30mm 的累及宫颈后区的 DIE 的患者发生输尿管累及的风险更高（17.9%）。
