Huang Yu-Hsin, Hsieh Chia-Lin, Shiau Chii-Shinn, Lo Liang-Ming, Liou Jui-Der, Chang Ming-Yang
Department of Obstetrics and Gynecology, Landseed Hospital, Taiwan.
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan.
Taiwan J Obstet Gynecol. 2014 Jun;53(2):220-3. doi: 10.1016/j.tjog.2014.04.018.
Patients with a rare rupture of endometriomas may require surgery. In this retrospective study, we assessed the outcomes of surgical interventions for ruptured ovarian endometriomas.
Forty-three patients who underwent surgical intervention for ruptured ovarian endometriomas were studied. Depending on the latency to surgery and endometrioma recurrence, patients were divided into two groups, and then compared with respect to patient profiles, intraoperative findings, and outcomes.
Thirty-one of the 43 patients had a known ovarian endometrioma with an average diameter of 6.04 cm. Seventeen (39.5%) patients had a recurrent ovarian tumor during the postoperative follow up. Patients who underwent surgery within 72 hours or after 72 hours showed no difference in baseline characteristics and most clinical outcomes, except for the choice of surgery (p = 0.003) and future fertility (p = 0.005).
Comprehensive and early surgical intervention after endometrioma rupture can assist in excluding ovarian malignancy and can reduce the effects of cyst fluids, prevent adhesions, and preserve fertility.
患有罕见子宫内膜瘤破裂的患者可能需要手术治疗。在这项回顾性研究中，我们评估了手术干预破裂卵巢子宫内膜瘤的结果。
研究了43例接受手术干预破裂卵巢子宫内膜瘤的患者。根据手术延迟时间和子宫内膜瘤复发情况，将患者分为两组，然后比较患者资料、术中发现和结果。
43例患者中有31例患有已知的卵巢子宫内膜瘤，平均直径为6.04厘米。17例（39.5%）患者在术后随访期间出现复发性卵巢肿瘤。在72小时内或72小时后接受手术的患者，除手术选择（p = 0.003）和未来生育能力（p = 0.005）外，基线特征和大多数临床结果无差异。
子宫内膜瘤破裂后进行全面、早期的手术干预有助于排除卵巢恶性肿瘤，减少囊液的影响，防止粘连，并保留生育能力。
