重度输尿管子宫内膜异位症：发病率及危险因素

Severe ureteral endometriosis: frequency and risk factors.

作者信息

Raimondo Diego, Mabrouk Mohamed, Zannoni Letizia, Arena Alessandro, Zanello Margherita, Benfenati Arianna, Moro Elisa, Paradisi Roberto, Seracchioli Renato

机构信息

a Department of Gynecology and Reproductive Biology , S. Orsola Hospital, University of Bologna , Bologna , Italy.

b Department of Obstetrics and Gynecology , Alexandria University , Alexandria , Egypt.

出版信息

J Obstet Gynaecol. 2018 Feb;38(2):257-260. doi: 10.1080/01443615.2017.1349083. Epub 2017 Oct 3.

DOI:10.1080/01443615.2017.1349083

PMID:28969477

Abstract

Ureteral endometriosis (UE) can be classified as severe when there is obstruction to urinary flow (ureteral compression (UC)). In this retrospective study on 205 patients, we evaluated intraoperatively the frequency of severe ureteral endometriosis (UE) in women with UE and, secondarily, risk factors associated with UC. We documented intraoperatively ureteral UC in 124 (60.5%) patients with UE. A significantly lower body mass index (BMI) was observed in women with UC than in women without UC (p = .02). A significant association was found between UC and parametrial endometriosis (p = .001). In multivariable analysis, these variables remained significantly associated with UC. Ureteral compression is common in patients with UE, especially in women with parametrial infiltration and a low BMI.

摘要

当存在尿路梗阻（输尿管受压[UC]）时，输尿管子宫内膜异位症（UE）可被归类为重度。在这项针对205例患者的回顾性研究中，我们在术中评估了患有UE的女性中重度输尿管子宫内膜异位症（UE）的发生率，其次还评估了与UC相关的危险因素。我们在124例（60.5%）患有UE的患者术中记录到输尿管UC。观察到患有UC的女性的体重指数（BMI）显著低于未患有UC的女性（p = 0.02）。发现UC与宫旁子宫内膜异位症之间存在显著关联（p = 0.001）。在多变量分析中，这些变量仍与UC显著相关。输尿管受压在患有UE的患者中很常见，尤其是在有宫旁浸润且BMI较低的女性中。