Latifa Hospital, Dubai, United Arab Emirates; Obstetrics and Gynecology KU Leuven, Bierbeek, Belgium; University of Oxford, United Kingdom; Universita Cattolica, Rome, Italy; Moscow State University, Russia; Gruppo Italo Belga, Rome, Italy.
Universita Cattolica, Rome, Italy; Gruppo Italo Belga, Rome, Italy.
J Obstet Gynaecol Can. 2021 Aug;43(8):935-942. doi: 10.1016/j.jogc.2021.04.009. Epub 2021 May 11.
To evaluate the prevalence of endometriosis and peritoneal pockets and to analyze whether these pockets are associated with pain.
Analysis of prospectively registered data of all women undergoing laparoscopy for infertility or pelvic pain between 1988 and 2011 at KU Leuven University Hospital.
Of 4497 women, 191 had 238 pockets, with a prevalence of 4.7% in women with infertility only, 4.9% in women with infertility and pelvic pain, and 3.5% in women with pelvic pain only (P = 0.045 for all infertility vs. pelvic pain only). Prevalence did not vary by age. Pockets were associated with endometriosis (P < 0.0001), which was found in 77% of women with pockets. Among women with infertility only, the prevalence of endometriosis was higher in women with pockets (P = 0.0001) than in women without. The prevalence of endometriosis was similar in women with infertility and pelvic pain or pelvic pain only. Pelvic pain as an indication for surgery was associated simultaneously (through logistic regression) with endometriosis (P < 0.0001) and pockets (P = 0.040). Pelvic pain severity was associated simultaneously with pockets (P = 0.0026) and the severity of subtle (P = 0.001), typical (P = 0.030), cystic ovarian (P = 0.051), and deep endometriosis (P < 0.0001). Pelvic pain severity was not associated with endometriosis in the pockets or the diameter or location of pockets.
The prevalence of pockets was low, at between 3.5% and 5%. Women with infertility only and pockets had more endometriosis than women without. Severe pelvic pain and pelvic pain as an indication for surgery were associated with the presence of pockets as well as the presence and severity of endometriosis.
评估子宫内膜异位症和腹膜口袋的患病率，并分析这些口袋是否与疼痛有关。
对 1988 年至 2011 年间在鲁汶大学医院因不孕或盆腔疼痛接受腹腔镜检查的所有女性的前瞻性登记数据进行分析。
在 4497 名女性中，有 191 名女性有 238 个口袋，仅不孕女性的患病率为 4.7%，不孕合并盆腔疼痛女性的患病率为 4.9%，仅盆腔疼痛女性的患病率为 3.5%（所有不孕合并盆腔疼痛仅女性之间差异有统计学意义（P=0.045）。年龄与患病率无关。口袋与子宫内膜异位症有关（P<0.0001），在有口袋的女性中，77%存在子宫内膜异位症。仅不孕女性中，有口袋的女性子宫内膜异位症患病率高于无口袋的女性（P=0.0001）。不孕合并盆腔疼痛或仅盆腔疼痛女性的子宫内膜异位症患病率相似。手术的盆腔疼痛指征与子宫内膜异位症（P<0.0001）和口袋（P=0.040）同时相关。盆腔疼痛严重程度与口袋（P=0.0026）以及隐匿性（P=0.001）、典型性（P=0.030）、囊性卵巢（P=0.051）和深部子宫内膜异位症（P<0.0001）严重程度同时相关。盆腔疼痛严重程度与口袋或口袋直径或位置无相关性。
口袋的患病率较低，为 3.5%至 5%。仅不孕和口袋的女性比没有口袋的女性有更多的子宫内膜异位症。严重的盆腔疼痛和手术的盆腔疼痛指征与口袋的存在以及子宫内膜异位症的存在和严重程度有关。
