Postsurgical ovarian failure after laparoscopic excision of bilateral endometriomas

Postsurgical ovarian failure after laparoscopic excision of bilateral endometriomas
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DOI:
10.1016/j.ajog.2006.03.064
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发表时间:
2006-08-01
影响因子:
9.8
通讯作者:
Candiani, Massimo
Candiani, Massimo
中科院分区:
医学1区
文献类型:
--
作者:
Busacca, Mauro;Riparini, Jennifer;Candiani, Massimo

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目的:探讨腹腔镜下双侧子宫内膜异位症切除术后卵巢功能衰竭的发生率。研究设计:对1995年1月至2003年12月间行双侧卵巢子宫内膜异位症手术且手术时年龄在40岁以下的患者进行电话联系和访谈。患者手术时平均+/-SD年龄为30.4+/-4.3岁。术后卵巢功能衰竭3例,发生率2.4%(95%可信区间0.5%~6.8%)。结论:双侧子宫内膜异位症患者术后即刻发生卵巢早衰的风险较低,但风险确定。(C)2006 Mosby,Inc.保留所有权利。
Objective: This study was undertaken to determine the frequency of postsurgical ovarian failure in patients undergoing laparoscopic excision of bilateral endometriomas.Study design: Patients who had been operated on for bilateral ovarian endometriosis between January 1995 and December 2003 and who were younger than 40 years at the time of surgery were contacted by telephone and interviewed.Results: A total of 126 patients were recruited. Mean +/- SD age of patients at the time of surgery was 30.4 +/- 4.3 years. Postsurgical ovarian failure was documented in 3 cases, corresponding to a rate of 2.4% (95% CI 0.5%-6.8%). In all cases, this complication occurred immediately after surgery.Conclusion: Patients who had been operated on for bilateral endometriomas have a low but definite risk of premature ovarian failure occurring immediately after surgery. (c) 2006 Mosby, Inc. All rights reserved.