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胸段及膈肌子宫内膜异位症：单机构应用新型、拓宽诊断标准的经验

Thoracic and diaphragmatic endometriosis: Single-institution experience using novel, broadened diagnostic criteria.

作者信息

Larraín Demetrio, Suárez Francisco, Braun Hernán, Chapochnick Javier, Diaz Lidia, Rojas Iván

机构信息

Department of Obstetrics and Gynecology, Endometriosis Unit, Clínica Santa María, Santiago, Chile

Department of Obstetrics and Gynecology, Clínica Santa María, Santiago, Chile

出版信息

J Turk Ger Gynecol Assoc. 2018 Aug 6;19(3):116-121. doi: 10.4274/jtgga.2018.0035. Epub 2018 Jun 5.

DOI:10.4274/jtgga.2018.0035
PMID:29865779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6085532/
Abstract

OBJECTIVE

To describe our experience with the multidisciplinary management of both thoracic/diaphragmatic endometriosis (TED), applying a broadened definition of the “Thoracic endometriosis syndrome (TES)” to define cases.

MATERIAL AND METHODS

We present a retrospective series of consecutive patients affected by pathology-proven TED, treated at our institution, during a period of 7 years.

RESULTS

Five women were included. Two patients were referred due to catamenial chest/shoulder pain, one due to recurrent catamenial pneumothorax, and one due to new-onset diaphragmatic hernia. One patient had no thoracic symptoms, but diaphragmatic endometriosis was found during gynecologic laparoscopy for pelvic endometriosis. Endometriosis was histologically confirmed in all cases. After follow-up, all patients remain asymptomatic.

CONCLUSION

Broadened TES criteria could increase the incidence of TED and determine better knowledge of this condition. Multidisciplinary, minimally invasive surgery is effective and safe, but should be reserved for tertiary referral centers.

摘要

目的

描述我们对胸段/膈肌子宫内膜异位症（TED）进行多学科管理的经验，应用“胸段子宫内膜异位症综合征（TES）”的扩展定义来界定病例。

材料与方法

我们回顾性分析了在我院接受治疗的一系列经病理证实为TED的连续患者，时间跨度为7年。

结果

纳入5名女性患者。2名患者因经期胸痛/肩痛就诊，1名因复发性经期气胸就诊，1名因新发膈肌疝就诊。1名患者无胸段症状，但在因盆腔子宫内膜异位症进行妇科腹腔镜检查时发现膈肌子宫内膜异位症。所有病例均经组织学证实为子宫内膜异位症。随访后，所有患者均无症状。

结论

扩展的TES标准可能会增加TED的发病率，并有助于更好地了解这种疾病。多学科微创手术有效且安全，但应保留给三级转诊中心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a548/6085532/0fadcff44830/JTGGA-19-116-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a548/6085532/c7e55bde61a2/JTGGA-19-116-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a548/6085532/33abfe661446/JTGGA-19-116-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a548/6085532/0fadcff44830/JTGGA-19-116-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a548/6085532/c7e55bde61a2/JTGGA-19-116-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a548/6085532/33abfe661446/JTGGA-19-116-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a548/6085532/0fadcff44830/JTGGA-19-116-g3.jpg

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