福建医科大学学报
福建醫科大學學報
복건의과대학학보
JOURNAL OF FUJIAN MEDICAL UNIVERSITY
2013年
3期
172-175
,共4页
子宫内膜异位症%年龄%手术治疗%疗效
子宮內膜異位癥%年齡%手術治療%療效
자궁내막이위증%년령%수술치료%료효
endometriosis%age%surgery%curative effect
目的探讨不同年龄盆腔子宫内膜异位症(内异症)患者的临床特点、手术治疗情况及预后。方法回顾性分析179例不同年龄内异症患者的临床资料,按患者年龄<30、30~40、>40岁分为Ⅰ、Ⅱ、Ⅲ3组,分别为85,65,29例。随访时间24~30月。结果患者平均诊断年龄(32.7±7.6)岁,术后随访率93.3%(167/179)。行保守性手术者总复发率11.6%(16/138),根治及半根治性手术者未发现复发。Ⅰ、Ⅱ、Ⅲ组保守性手术患者疼痛缓解率分别为88.5%,91.4%,83.3%,复发率分别为10.3%,15.4%,0%,差别均无统计学意义( P>0.05)。Ⅰ、Ⅱ组合并不孕症患者术后自然妊娠率分别为56.7%,10.0%,差别有统计学意义( P<0.001)。结论各年龄组保守性手术后疼痛缓解率及复发率无明显差别;年龄小的内异症不孕患者术后自然受孕率相对高。
目的探討不同年齡盆腔子宮內膜異位癥(內異癥)患者的臨床特點、手術治療情況及預後。方法迴顧性分析179例不同年齡內異癥患者的臨床資料,按患者年齡<30、30~40、>40歲分為Ⅰ、Ⅱ、Ⅲ3組,分彆為85,65,29例。隨訪時間24~30月。結果患者平均診斷年齡(32.7±7.6)歲,術後隨訪率93.3%(167/179)。行保守性手術者總複髮率11.6%(16/138),根治及半根治性手術者未髮現複髮。Ⅰ、Ⅱ、Ⅲ組保守性手術患者疼痛緩解率分彆為88.5%,91.4%,83.3%,複髮率分彆為10.3%,15.4%,0%,差彆均無統計學意義( P>0.05)。Ⅰ、Ⅱ組閤併不孕癥患者術後自然妊娠率分彆為56.7%,10.0%,差彆有統計學意義( P<0.001)。結論各年齡組保守性手術後疼痛緩解率及複髮率無明顯差彆;年齡小的內異癥不孕患者術後自然受孕率相對高。
목적탐토불동년령분강자궁내막이위증(내이증)환자적림상특점、수술치료정황급예후。방법회고성분석179례불동년령내이증환자적림상자료,안환자년령<30、30~40、>40세분위Ⅰ、Ⅱ、Ⅲ3조,분별위85,65,29례。수방시간24~30월。결과환자평균진단년령(32.7±7.6)세,술후수방솔93.3%(167/179)。행보수성수술자총복발솔11.6%(16/138),근치급반근치성수술자미발현복발。Ⅰ、Ⅱ、Ⅲ조보수성수술환자동통완해솔분별위88.5%,91.4%,83.3%,복발솔분별위10.3%,15.4%,0%,차별균무통계학의의( P>0.05)。Ⅰ、Ⅱ조합병불잉증환자술후자연임신솔분별위56.7%,10.0%,차별유통계학의의( P<0.001)。결론각년령조보수성수술후동통완해솔급복발솔무명현차별;년령소적내이증불잉환자술후자연수잉솔상대고。
Objective To investigate the clinical features and the surgical procedure of endometri-osis in the patients of different ages and to analyze the postoperative efficiency and prognosis . Methods A retrospective analysis for the clinical data from 179 operated patients ,who were diagnosed as endometri-osis in different ages and were followed up for 24~30 months ,was conducted . All the patients were cat-egorized as groups Ⅰ ,Ⅱ and Ⅲ according to their ages . There were 85 cases <30 (group Ⅰ) ,65 cases within 30~40 (group Ⅱ) ,and 29 cases >40 (group Ⅲ) years old . Results The patients’ average age was (32 .7 ± 7 .6) years . Out of the 179 cases ,167 were fully followed up ,138 were performed by con-servative surgery with a recurrence rate of 11 .6% ,and 29 received radical or semi-radical conservative op-eration with no recurrence . In groupsⅠ ,Ⅱ and Ⅲ ,the patients’ rates of postoperative palliation were 88 .5% ,91 .4% and 83 .3% ,the recurrence rates w ere 10 .3% ,15 .4% ,and 0% ,respectively ,and statis-tic analysis showed no significant difference (P>0 .05) . The natural pregnancy rates in the patients be-tween groupsⅠ(56 .7% ) and Ⅱ(10 .0% ) after conservative surgery were statistically significant different . Conclusions The rates of postoperative palliation and recurrence were not significantly different among the different age groups of conservative surgery . The younger infertile patients with endometriosis had a higher rate of natural pregnancy .