Prevalence of newly diagnosed endometriosis in women attending the general practitioner
Prevalence of newly diagnosed endometriosis in women attending the general practitioner
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DOI：
10.1016/j.ijgo.2010.03.039
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发表时间：
2010-09-01
影响因子：
3.8
通讯作者：
Remorgida, Valentino
中科院分区：
文献类型：
--
作者：
Ferrero, Simone;Arena, Elisa;Remorgida, Valentino
目的：调查因非妇科问题要求咨询全科医生的绝经前妇女中新诊断的子宫内膜异位症的患病率。方法：研究参与者被邀请完成一份调查问卷，调查疼痛症状和不孕症的存在。根据这些症状的特点，部分患者进行了妇科检查和经阴道超声检查。当怀疑肠或膀胱子宫内膜异位症时，进行放射学检查。结果：共有1291名先前没有诊断为子宫内膜异位症的妇女被纳入研究。根据症状，108名妇女被转诊到妇科医生。经妇科检查和阴道超声检查，51例（47.2%）妇女怀疑子宫内膜异位症。46名患者通过放射学检查和/或手术证实了子宫内膜异位症的诊断;另外2名女性被推定患有子宫内膜异位症，但未经放射学检查和/或手术证实。通过磁共振成像和/或手术诊断的子宫内膜异位症的患病率为3.6%（46/1291）。结论：在这项研究中，新诊断的症状性子宫内膜异位症的患病率至少为3.6%。一个简单的评估症状（疼痛和不孕症），可以由全科医生进行促进子宫内膜异位症的诊断。(C)2010年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: To investigate the prevalence of newly diagnosed endometriosis in premenopausal women who requested a consultation with their general practitioner because of non-gynecological problems. Method: Participants in the study were invited to complete a questionnaire investigating the presence of pain symptoms and infertility. On the basis of the characteristics of these symptoms, some patients underwent gynecological examination and transvaginal ultrasound. Radiological examinations were performed when bowel or bladder endometriosis were suspected. Results: A total of 1291 women without a previous diagnosis of endometriosis were included in the study. On the basis of the symptoms, 108 women were referred to a gynecologist. After gynecological examination and transvaginal ultrasound, endometriosis was suspected in 51 women (47.2%). The diagnosis of endometriosis was confirmed by radiological investigations and/or surgery in 46 patients; the diagnosis of endometriosis was presumed in 2 other women but it was not confirmed by radiological investigations and/or surgery. The prevalence of endometriosis diagnosed by magnetic resonance imaging and/or surgery was 3.6% (46/1291). Conclusion: The prevalence of newly diagnosed symptomatic endometriosis in this study was at least 3.6%. A simple evaluation of symptoms (pain and infertility) that can be performed by a general practitioner facilitates the diagnosis of endometriosis. (C) 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.