Development of endometrioma after cervical conization

Development of endometrioma after cervical conization
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宫颈锥切术后子宫内膜异位症的发展

DOI:
10.1080/09513590.2017.1393660
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发表时间:
2017
期刊:
影响因子:
2
通讯作者:
Osuga Yutaka
Osuga Yutaka
中科院分区:
医学4区
文献类型:
--
作者:
Takahashi Nozomi;Koga Kaori;Arakawa Ichiro;Harada Miyuki;Oda Katsutoshi;Kawana Kei;Fujii Tomoyuki;Osuga Yutaka

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宫颈锥切术与子宫内膜异位症的发生之间的关系尚不确定。本研究的目的是评估宫颈锥切术后卵巢腺瘤的发生率,并确定与卵巢腺瘤发生相关的因素。本研究纳入了2006年1月至2013年12月期间在东京大学医院接受宫颈锥切术的142例患者。他们的医疗记录被回顾性研究,直到2015年4月。计算锥切术后肿瘤发生率。分析患者的特征(年龄、产次、术前术后诊断和观察期)。6例患者在宫颈锥切术后发生宫颈癌,宫颈癌发生率为10.8/1000人年(95%CI 3.6-20.5)。患者年龄、初产率、术后诊断及观察时间与锥切术后肿瘤的发生无关。术前诊断为浸润性癌(p< 0.05)与锥切术后肿瘤的发生显著相关。在本研究中接受宫颈锥切术的患者中,腺瘤的发生率高于报告人群。
The association between cervical conization and subsequent development of endometriosis is uncertain. The objective of this study was to estimate the incidence rate of ovarian endometrioma after cervical conization and to determine factors associated with the development of endometrioma. One hundred forty-two patients who underwent cervical conization at the University of Tokyo Hospital between January 2006 and December 2013 were included in the study. Their medical records were retrospectively studied until April 2015. The incidence rate of postconization endometrioma was calculated. Patients’ characteristics (age, parity, preoperative and postoperative diagnosis and observation period) were analyzed. Six patients developed endometrioma after the cervical conization, and the incidence rate of endometrioma among patients who underwent cervical conization was 10.8 per 1000 person-year (95%CI 3.6–20.5). Patients’ age, percent of nulliparous, postoperative diagnosis and observation period were not associated with the development of postconization endometrioma. A preoperative diagnosis with invasive cancer (p< 0.05) was significantly associated with the development of postconization endometrioma. The incidence rate of endometrioma among patients who underwent cervical conization in the current study was higher than that reported population.
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