Wheeler J M
Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut.
J Reprod Med. 1989 Jan;34(1):41-6.
To explain the great discrepancy between the prevalence estimates for endometriosis in the literature, a series of operations was studied from a combined patient population derived from a 21-physician collaborative. The reported discrepancy appears to have to do more with operative indications and technique than with an actual increase in the prevalence of endometriosis over time. The least-biased estimate for the overall prevalence of endometriosis in reproductive-age women is about 10% on the basis of a study of women operated on for symptoms other than those associated with endometriosis. Accepted criteria for causality applied to the endometriosis literature failed to demonstrate an association between endometriosis and infertility.
为了解释文献中子宫内膜异位症患病率估计值之间的巨大差异，我们对来自21位医生合作的综合患者群体进行了一系列手术研究。报告的差异似乎更多地与手术指征和技术有关，而不是随着时间推移子宫内膜异位症患病率的实际增加。根据对因非子宫内膜异位症相关症状而接受手术的女性的研究，育龄女性子宫内膜异位症总体患病率的最无偏估计约为10%。应用于子宫内膜异位症文献的公认因果标准未能证明子宫内膜异位症与不孕症之间存在关联。
