卵巢子宫内膜异位囊肿破裂手术干预的合适时机。

Suitable timing of surgical intervention for ruptured ovarian endometrioma.

作者信息

Huang Yu-Hsin, Hsieh Chia-Lin, Shiau Chii-Shinn, Lo Liang-Ming, Liou Jui-Der, Chang Ming-Yang

机构信息

Department of Obstetrics and Gynecology, Landseed Hospital, Taiwan.

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan.

出版信息

Taiwan J Obstet Gynecol. 2014 Jun;53(2):220-3. doi: 10.1016/j.tjog.2014.04.018.

DOI:10.1016/j.tjog.2014.04.018

PMID:25017271

Abstract

OBJECTIVE

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.

MATERIALS AND METHODS

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.

RESULTS

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).

CONCLUSION

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.

摘要