[智利圣地亚哥287名接受绝育手术的女性子宫内膜异位症患病率]
[Prevalence of endometriosis in 287 women undergoing surgical sterilization in Santiago Chile].
作者信息
Fuentes Ariel, Escalona Javier, Céspedes Pablo, Espinoza Alejandra, Johnson M Cecilia
出版信息
Rev Med Chil. 2014 Jan;142(1):16-9. doi: 10.4067/S0034-98872014000100003.
BACKGROUND
The clinical manifestations of endometriosis are infertility, dysmenorrhea, sexuality disturbances, and chronic pelvic pain. It is the cause of 30 to 50% of infertility cases. In developed countries, the prevalence of endometriosis among women undergoing surgical sterilization is approximately 6%.
AIM
To determine the prevalence of endometriosis among women with proven fertility in Santiago de Chile.
MATERIAL AND METHODS
Review of surgical protocols of 287 women aged 25 to 49 years, subjected to a surgical sterilization between 2007 and 2011.
RESULTS
Endometriosis was found in 14 of the 287 women (4.9%). In spite of being asymptomatic, five of the 14 women with endometriosis were classified as severe, due to the presence of at least one endometrioma. In order of frequency, the most commonly affected anatomical sites were the ovary, the peritoneum, the posterior cul-de-sac and uterosacral ligaments.
CONCLUSIONS
Our findings are very similar to those found elsewhere and suggest that fertile women could better tolerate endometriosis than their infertile counterparts.
背景
子宫内膜异位症的临床表现包括不孕、痛经、性功能障碍和慢性盆腔疼痛。它是30%至50%不孕病例的病因。在发达国家，接受手术绝育的女性中子宫内膜异位症的患病率约为6%。
目的
确定智利圣地亚哥有生育能力的女性中子宫内膜异位症的患病率。
材料与方法
回顾2007年至2011年间287名年龄在25至49岁之间接受手术绝育的女性的手术记录。
结果
287名女性中有14名（4.9%）被发现患有子宫内膜异位症。尽管14名患有子宫内膜异位症的女性中有5名无症状，但由于至少存在一个子宫内膜瘤，她们被归类为重度。按频率排序，最常受影响的解剖部位是卵巢、腹膜、后穹窿和子宫骶韧带。
结论
我们的研究结果与其他地方的研究结果非常相似，表明有生育能力的女性可能比不孕女性更能耐受子宫内膜异位症。
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