Adenomyosis:: epidemiological factors
Adenomyosis:: epidemiological factors
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DOI：
10.1016/j.bpobgyn.2006.01.017
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发表时间：
2006-08-01
影响因子：
5.5
通讯作者：
Fedele, Luigi
中科院分区：
文献类型：
--
作者：
Vercellini, Paolo;Vigano, Paola;Fedele, Luigi
子宫腺肌病的流行病学研究很难解释，因为诊断标准差异很大，这种疾病可能很容易被过度诊断。这将严重阻碍任何试图确定发病率和患病率的条件和相关的危险因素，并将限制澄清子宫腺肌病在何种程度上有助于临床症状的可能性。有必要制定严格和广泛接受的诊断标准，以便不仅确定子宫腺肌病的存在，而且确定病灶的渗透深度和扩散程度。此外，关于子宫腺肌病妇女流行病学特征的现有证据因所研究的人群类型（即接受子宫切除术的妇女）而存在很大偏差。因此，在经阴道超声检查和MRI的非手术诊断标准的共识是必不可少的，迫切需要，以便能够进行流行病学研究的妇女比那些评估到现在为止。
Epidemiological studies of adenomyosis are difficult to interpret because the diagnostic criteria vary so widely that the disease may be easily over-diagnosed. This would severely hamper any attempt to define incidence and prevalence of the condition and the related risk factors, and would limit the possibility of clarifying to what extent adenomyosis contributes to clinical symptoms. There is a need for stringent and widely accepted diagnostic criteria in order to define not only the presence of adenomyosis but also depth of penetration and degree of spread of foci. Moreover, the evidence available on epidemiological characteristics of women with adenomyosis is greatly biased by the type of population studied, i.e. women undergoing hysterectomy. Therefore, a consensus on non-surgical diagnostic criteria at transvaginal ultrasonography and MRI is indispensable and urgently needed in order to be able to conduct epidemiological studies in women younger than those evaluated until now.