PRESENTATION OF ENDOMETRIOSIS TO GENERAL SURGEONS - A 10-YEAR EXPERIENCE
PRESENTATION OF ENDOMETRIOSIS TO GENERAL SURGEONS - A 10-YEAR EXPERIENCE
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DOI：
10.1002/bjs.1800821017
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发表时间：
1995-10-01
影响因子：
9.6
通讯作者：
GREIG, JD
中科院分区：
文献类型：
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作者：
SINGH, KK;LESSELLS, AM;GREIG, JD
本文回顾了10年（1985-1994）来普外科就诊的24例子宫内膜异位症患者（中位年龄34（范围21-68）岁）的临床表现和治疗。患者表现为与先前Pfannenstiel切口相关的腹壁肿胀（7例患者）、脐肿胀（4例）、腹股沟管肿胀（2例）、阑尾切除术后偶然发生（5例）、末端回肠梗阻（2例）、直肠出血（2例）和泌尿系统症状（2例）。子宫内膜异位症在大多数患者中没有被怀疑，但通过手术切除或切除证实，发病率最低。中位随访时间为53个月（范围9-113），无复发。子宫内膜异位症是一种罕见的疾病，由普通外科医生诊断，往往是偶然或组织学检查。50%的患者出现月经周期性症状，这些症状应提示瘢痕相关和/或皮下肉瘤的诊断，简单切除或切除现有病变可提供足够的治疗，但由于可能存在盆腔子宫内膜异位症，因此建议在每种情况下转诊至妇科医生。
The presentation and management of 24 patients with endometriosis (median age 34 (range 21-68) years) presenting to general surgeons over a period of 10 years (1985-1994) was reviewed. Patients presented with an abdominal wall swelling related to a previous Pfannenstiel incision (seven patients), umbilical swelling (four), inguinal canal swelling (two), incidentally following appendicectomy (five), terminal ileal obstruction (two), rectal bleeding (two) and urinary symptoms (two). Endometriosis was not suspected in most patients but was confirmed by surgical excision or resection with minimal morbidity. No recurrence occurred during a median follow-up of 53 (range 9-113) months, Endometriosis is a disease rarely seen by general surgeons and is often diagnosed incidentally or on histological examination. Cyclical symptoms associated with menstruation are present in 50 per cent of patients and should suggest the diagnosis in those presenting with scar-related and/or subcutaneous swellings, Simple excision or resection of the presenting lesion provides adequate treatment but, since pelvic endometriosis may be present, referral to a gynaecologist is recommended in every case.