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[子宫内膜异位囊肿的手术治疗:法国实践调查结果]

[Surgical management of endometrioma: Result of French practice survey].

作者信息

Delbos L, Legendre G, Rousseau M, Catala L, Lefebvre-Lacoeuille C, Bouet P-E, Descamps P

机构信息

Service de gynecologie-obstétrique, centre hospitalier universitaire d'Angers, 4, rue Larrey, 49033 Angers cedex 01, France.

Service de gynecologie-obstétrique, centre hospitalier universitaire d'Angers, 4, rue Larrey, 49033 Angers cedex 01, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2016 Oct;45(8):936-941. doi: 10.1016/j.jgyn.2016.06.005. Epub 2016 Jul 12.

Abstract

OBJECTIVES

There are many national and international recommendations and guidelines for the management of patients with endometrioma. In this study, we aimed to evaluate the impact of these recommendations on the practice of French surgeons, and to assess their knowledge about the management of endometriomas.

MATERIALS AND METHODS

A self-questionnaire has been sent to the French members of the Society of Gynecologic Surgery and Pelvic (SCGP) in May 2015.

RESULTS

One hundred and forty-four members of the society (36 %) participated in the survey. Most of the practitioners (71 %) followed recommendations of the Collège National des Gynécologues Obstétriciens (CNGOF), 38 % followed the guidelines of European Society of Human Reproduction and Embryology (ESHRE). One hundred percent of the surgeons declared that they practice laparoscopy when a surgical removal of the endometrioma is indicated. About treatment with GnRH analogue, 38 % of the practitioners declared that they prescribe an add back therapy immediately after the surgery, 43 % at 3 months, and 14 % declared that they never prescribe this treatment.

CONCLUSIONS

French surgeons consider the recommendations are useful in their clinical practice; they primarily apply the guidelines of the CNGOF.

摘要

目的

对于卵巢子宫内膜异位囊肿患者的管理,有许多国内和国际的建议及指南。在本研究中,我们旨在评估这些建议对法国外科医生临床实践的影响,并评估他们关于卵巢子宫内膜异位囊肿管理的知识。

材料与方法

2015年5月向法国妇科与盆腔外科学会(SCGP)的成员发送了一份自填式问卷。

结果

该学会的144名成员(36%)参与了调查。大多数从业者(71%)遵循法国国家妇产科医生协会(CNGOF)的建议,38%遵循欧洲人类生殖与胚胎学会(ESHRE)的指南。100%的外科医生宣称,当需要手术切除卵巢子宫内膜异位囊肿时,他们会进行腹腔镜手术。关于GnRH类似物治疗,38%的从业者宣称他们在手术后立即开具反向添加疗法,43%在术后3个月开具,14%宣称他们从不开具这种治疗。

结论

法国外科医生认为这些建议在他们的临床实践中有用;他们主要应用CNGOF的指南。

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