Abd El-Kader Azza Ibrahim, Gonied Amina Saad, Mohamed Mohamed Lotfy, Mohamed Sabah Lotfy
Department of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University, Zagazig, Egypt.
Department of Obstetrics and Gynecological Department, Faculty of Nursing, Zagazig University, Zagazig, Egypt.
SAGE Open Nurs. 2022 Jul 18;8:23779608221111718. doi: 10.1177/23779608221111718. eCollection 2022 Jan-Dec.
Endometriosis is regarded as a benign condition, despite the potential for recurrence and metastasis,. It might lead to secondary ovarian cancer from endometrioma.
The aim of this current study was to determine the relationship between risk factors for endometriosis and disease stages.
This current cross-sectional study was performed at the endoscopic unit at Zagazig University Hospitals, Egypt. The participants included 85 women who were candidates for laparoscopy and diagnosed with endometriosis in the period from November 2019 to November 2020. The tools used for data collection were a structured interviewing form and the American Society of Reproductive Medicine scoring tool (ASRM) for determining stages of endometriosis.
The high percentages of studied women were nulliparous (74.1%) and (51.8%) have secondary infertility. Endometriosis was staged as 20.0% minimal (ASRM stage I), 34.1% mild (ASRM stage II), 29.4% moderate (ASRM stage III), and 16.5% severe (ASRM stage IV). Congestive dysmenorrhea (78.8%), dyspareunia (77.6%), and secondary infertility (51.8%) were more reported symptoms in all stages of endometriosis.
This study concluded that women within reproductive age, nulliparity, lower body weight, urban residence, and past surgery of the pelvic were considered as risk factors in all disease stages.
尽管子宫内膜异位症有复发和转移的可能性，但它仍被视为一种良性疾病。它可能会导致子宫内膜瘤引发继发性卵巢癌。
本研究的目的是确定子宫内膜异位症的危险因素与疾病分期之间的关系。
本横断面研究在埃及扎加齐格大学医院的内镜科进行。研究对象包括85名在2019年11月至2020年11月期间接受腹腔镜检查并被诊断为子宫内膜异位症的女性。用于数据收集的工具是一份结构化访谈表格和美国生殖医学学会（ASRM）用于确定子宫内膜异位症分期的评分工具。
研究对象中未生育的比例较高（74.1%），有继发性不孕的比例为（51.8%）。子宫内膜异位症的分期为：20.0%为轻微（ASRM I期），34.1%为轻度（ASRM II期），29.4%为中度（ASRM III期），16.5%为重度（ASRM IV期）。在子宫内膜异位症的所有阶段，充血性痛经（78.8%）、性交困难（77.6%）和继发性不孕（51.8%）是报告较多的症状。
本研究得出结论，育龄期女性、未生育、体重较低、居住在城市以及既往有盆腔手术史被视为所有疾病阶段的危险因素。
