How to evaluate adenomyosis in patients affected by endometriosis?
How to evaluate adenomyosis in patients affected by endometriosis?
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如何评估子宫内膜异位症患者的子宫肌病？
DOI：
10.1155/2014/507230
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发表时间：
2014
影响因子：
1.8
通讯作者：
Seracchioli R
中科院分区：
文献类型：
--
作者：
Di Donato N;Seracchioli R
目标。本研究的目的是评估接受不同类型子宫内膜异位症手术患者的子宫腺肌症。这是一项观察性研究，包括术前超声诊断为子宫腺肌病的妇女。记录人口统计学数据和症状(年龄、体重指数、产次、既往手术史、痛经、月经困难、经痛、排尿困难和异常子宫出血)。此外，还评估了与子宫腺肌病相关的特殊子宫内膜形状的“问号符号”。结果。在217例超声诊断子宫腺肌症的患者中，卵巢组织学证实的子宫内膜异位症73例，深层浸润性子宫内膜异位症92例，因不孕症而行手术的患者52例。女性子宫腺肌病患者年龄最大(37.8±5.18岁，P=0.02)。深部子宫内膜异位症患者的自然分娩频率更高(P<；0.0001)，有手术史(P=0.004)，主诉疼痛症状比其他组更强烈。单纯子宫腺肌病与异常子宫出血显著相关(P<；0.0001)。问号与后方深层浸润性子宫内膜异位症密切相关(P=0.01)。结论。我们的研究证实了子宫腺肌症和子宫内膜异位症之间的密切关系，并评估了不同类型子宫内膜异位症患者的人口学特征和症状。
Objective. The aim of the study is to evaluate adenomyosis in patients undergoing surgery for different type of endometriosis. It is an observational study including women with preoperative ultrasound diagnosis of adenomyosis. Demographic data and symptoms were recorded (age, body mass index, parity, history of previous surgery, dysmenorrhea, dyspareunia, dyschezia, dysuria, and abnormal uterine bleeding). Moreover a particular endometrial shape “question mark sign” linked to the presence of adenomyosis was assessed. Results. From 217 patients with ultrasound diagnosis of adenomyosis, we found 73 with ovarian histological confirmation of endometriosis, 92 with deep infiltrating endometriosis, and 52 patients who underwent surgery for infertility. Women with adenomyosis alone represented the oldest group of patients (37.8 ± 5.18 years, P = 0.02). Deep endometriosis patients were nulliparous more frequently (P < 0.0001), had history of previous surgery (P = 0.004), and complained of more intense pain symptoms than other groups. Adenomyosis alone was significantly associated with abnormal uterine bleeding (P < 0.0001). The question mark sign was found to be strongly related to posterior deep infiltrating endometriosis (P = 0.01). Conclusion. Our study confirmed the strong relationship between adenomyosis and endometriosis and evaluated demographic aspects and symptoms in patients affected by different type of endometriosis.