Endometriosis in Adolescents
Endometriosis in Adolescents
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DOI：
10.4293/jsls.2015.00019
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发表时间：
2015-04-01
影响因子：
1.5
通讯作者：
Nezhat, Ceana H.
中科院分区：
文献类型：
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作者：
Dun, Erica C.;Kho, Kimberly A.;Nezhat, Ceana H.
背景和目的：患有子宫内膜异位症的女性通常报告在青春期发病；然而，子宫内膜异位症的诊断往往被延迟。本研究的目的是描述因盆腔疼痛而接受腹腔镜检查并被诊断为子宫内膜异位症的青少年的经历：具体而言，症状、从症状出现到正确诊断的时间、就诊的医疗专业人员的数量和类型、诊断、治疗和术后结果。方法：我们回顾了25例女性= 1例胃肠道症状（56%）和>= 1例泌尿生殖系统症状（52%）。从症状出现到诊断的平均时间为22.8（31.0）个月（范围1-132）。评估疼痛的医生中位数为3位（2.3位）（范围1-12位）。青少年有一期（68%）、二期（20%）和三期（12%）疾病。非典型子宫内膜异位症病变最常见于腹腔镜检查。1年后，64%报告疼痛缓解，16%报告疼痛改善，12%报告持续疼痛，8%报告复发疼痛。结论：及时转诊到有腹腔镜诊断和治疗子宫内膜异位症经验的妇科医生是加速治疗青少年盆腔疼痛的关键。一旦疾病得到诊断和治疗，这些患者使用激素和非激素治疗都有良好的结果。
Background and Objectives: Women with endometriosis often report onset of symptoms during adolescence; however, the diagnosis of endometriosis is often delayed. The aim of this study was to describe the experience of adolescents who underwent laparoscopy for pelvic pain and were diagnosed with endometriosis: specifically, the symptoms, time from onset of symptoms to correct diagnosis, number and type of medical professionals seen, diagnosis, treatment, and postoperative outcomes.Methods: We reviewed a series of 25 females = 1 gastrointestinal symptoms (56%), and >= 1 genitourinary symptoms (52%). The mean time from the onset of symptoms until diagnosis was 22.8 (31.0) months (range, 1-132). The median number of physicians who evaluated their pain was 3 (2.3) (range, 1-12). The adolescents had stage I (68%), stage II (20%), and stage III (12%) disease. Atypical endometriosis lesions were most commonly observed during laparoscopy. At 1 year, 64% reported resolved pain, 16% improved pain, 12% continued pain, and 8% recurrent pain.Conclusions: Timely referral to a gynecologist experienced with laparoscopic diagnosis and treatment of endometriosis is critical to expedite care for adolescents with pelvic pain. Once the disease is diagnosed and treated, these patients have favorable outcomes with hormonal and nonhormonal therapy.