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腹壁子宫内膜异位症:弗鲁米嫩塞联邦大学安东尼奥·佩德罗大学医院普通外科的经验

Abdominal wall endometriosis: experience of the General Surgery Service of the Antônio Pedro University Hospital of the Universidade Federal Fluminense.

作者信息

Costa Jorge Eduardo Faria Rocha, Accetta Italo, Maia Francisco JosÉ Santos, SÁ Renato Augusto Moreira DE

机构信息

- Universidade Federal Fluminense, Faculdade de Medicina, Curso de Pós-Graduação, Mestrado Profissional em Saúde Materno Infantil - Niterói - RJ - Brasil.

- Universidade Federal Fluminense, Faculdade de Medicina, Departamento de Cirurgia - Niterói - RJ - Brasil.

出版信息

Rev Col Bras Cir. 2020 Sep 18;47:e20202544. doi: 10.1590/0100-6991e-20202544. eCollection 2020.

Abstract

OBJECTIVE

to study the characteristics of women undergoing abdominal surgery with suspected abdominal wall endometriosis or abdominal wall tumor, and to assess the association with age, race and previous cesarean delivery.

METHOD

retrospective and analytical study carried out from January 2000 to December 2019, at the General Surgery Service of Hospital Universitário Antônio Pedro (HUAP) at Universidade Federal Fluminense (UFF). Medical records of 100 patients with abdominal wall endometriosis and other types of abdominal wall tumors were analyzed. Age, color, previous history of cesarean section or abdominal surgery and histopathological data were verified. The patients were classified as young adults (aged between 18 and 28 years and 11 months) and adults. The SPSS program was used for data analysis, Fisher's test with a significance level of 0.05.

RESULTS

abdominal wall endometriosis with histopathological confirmation was found in 22%, the mean age was 52.28 ± 18.66 which was lower when compared to other diagnoses. There was an association between previous cesarean section and abdominal wall endometriosis (p <0.005).

CONCLUSION

the women with a diagnosis of abdominal wall endometriosis had undergone previous cesareans (the majority) and were in an active reproductive age. Although the brown skin women were the most frequent, there was no statistical difference.

摘要

目的

研究疑似腹壁子宫内膜异位症或腹壁肿瘤的接受腹部手术的女性的特征,并评估其与年龄、种族和既往剖宫产的相关性。

方法

对2000年1月至2019年12月在弗卢米嫩塞联邦大学安东尼奥·佩德罗大学医院(HUAP)普通外科进行的回顾性分析研究。分析了100例腹壁子宫内膜异位症和其他类型腹壁肿瘤患者的病历。核实了年龄、肤色、既往剖宫产或腹部手术史以及组织病理学数据。患者分为青年成人(年龄在18岁至28岁11个月之间)和成年人。使用SPSS程序进行数据分析,采用显著性水平为0.05的费舍尔检验。

结果

经组织病理学证实的腹壁子宫内膜异位症占22%,平均年龄为52.28±18.66岁,与其他诊断相比年龄较低。既往剖宫产与腹壁子宫内膜异位症之间存在关联(p<0.005)。

结论

诊断为腹壁子宫内膜异位症的女性既往多有剖宫产史,且处于生育活跃期。虽然棕色皮肤女性最为常见,但无统计学差异。

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