中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2015年
7期
661-664
,共4页
张虹%杨悦%董文辉%高文凯%王凤梅%崔蕾%孙晓媛
張虹%楊悅%董文輝%高文凱%王鳳梅%崔蕾%孫曉媛
장홍%양열%동문휘%고문개%왕봉매%최뢰%손효원
子宫内膜异位症%r-AFS分期%疼痛%不孕
子宮內膜異位癥%r-AFS分期%疼痛%不孕
자궁내막이위증%r-AFS분기%동통%불잉
Endometriosis%Revised american fertility society Staging%Pain%Infertility
目的 探讨盆腔子宫内膜异位囊肿患者病灶根据美国生育学会修订的子宫内膜异位症分期标准(r-AFS)分期与疼痛及不孕的关系.方法 回顾性分析2007年1月至2013年12月在我院行腹腔镜手术的258例子宫内膜异位囊肿的患者的临床资料.同时根据r-AFS分期情况评价盆腔子宫内膜异位症囊肿盆腔病灶与疼痛及不孕的关系.结果 258例子宫内膜异位囊肿患者中伴有疼痛72.09％(186/258),不孕16.28％(42/258).r-AFS分期:Ⅰ期16例,Ⅱ期80例,Ⅲ期108例,Ⅳ期54例.186例疼痛患者中Ⅲ、Ⅳ期病例占77.42％(144/186),与72例无症状患者中Ⅲ、Ⅳ期病例25.00％ (18/72)比较,差异有统计学意义(x2=64.017,P＜0.05).42例不孕患者中Ⅲ、Ⅳ期病例占85.71％(36/42),与216例可孕患者中Ⅲ、Ⅳ期病例58.33％(126/216)比较,差异有统计学意义(x2=11.283,P＜0.05).结论 盆腔子宫内膜异位囊肿盆腔病灶r-AFS分期与盆腔子宫内膜异位症疼痛及不孕有关,Ⅲ、Ⅳ期患者发生疼痛,不孕的比例高.
目的 探討盆腔子宮內膜異位囊腫患者病竈根據美國生育學會脩訂的子宮內膜異位癥分期標準(r-AFS)分期與疼痛及不孕的關繫.方法 迴顧性分析2007年1月至2013年12月在我院行腹腔鏡手術的258例子宮內膜異位囊腫的患者的臨床資料.同時根據r-AFS分期情況評價盆腔子宮內膜異位癥囊腫盆腔病竈與疼痛及不孕的關繫.結果 258例子宮內膜異位囊腫患者中伴有疼痛72.09％(186/258),不孕16.28％(42/258).r-AFS分期:Ⅰ期16例,Ⅱ期80例,Ⅲ期108例,Ⅳ期54例.186例疼痛患者中Ⅲ、Ⅳ期病例佔77.42％(144/186),與72例無癥狀患者中Ⅲ、Ⅳ期病例25.00％ (18/72)比較,差異有統計學意義(x2=64.017,P＜0.05).42例不孕患者中Ⅲ、Ⅳ期病例佔85.71％(36/42),與216例可孕患者中Ⅲ、Ⅳ期病例58.33％(126/216)比較,差異有統計學意義(x2=11.283,P＜0.05).結論 盆腔子宮內膜異位囊腫盆腔病竈r-AFS分期與盆腔子宮內膜異位癥疼痛及不孕有關,Ⅲ、Ⅳ期患者髮生疼痛,不孕的比例高.
목적 탐토분강자궁내막이위낭종환자병조근거미국생육학회수정적자궁내막이위증분기표준(r-AFS)분기여동통급불잉적관계.방법 회고성분석2007년1월지2013년12월재아원행복강경수술적258례자궁내막이위낭종적환자적림상자료.동시근거r-AFS분기정황평개분강자궁내막이위증낭종분강병조여동통급불잉적관계.결과 258례자궁내막이위낭종환자중반유동통72.09％(186/258),불잉16.28％(42/258).r-AFS분기:Ⅰ기16례,Ⅱ기80례,Ⅲ기108례,Ⅳ기54례.186례동통환자중Ⅲ、Ⅳ기병례점77.42％(144/186),여72례무증상환자중Ⅲ、Ⅳ기병례25.00％ (18/72)비교,차이유통계학의의(x2=64.017,P＜0.05).42례불잉환자중Ⅲ、Ⅳ기병례점85.71％(36/42),여216례가잉환자중Ⅲ、Ⅳ기병례58.33％(126/216)비교,차이유통계학의의(x2=11.283,P＜0.05).결론 분강자궁내막이위낭종분강병조r-AFS분기여분강자궁내막이위증동통급불잉유관,Ⅲ、Ⅳ기환자발생동통,불잉적비례고.
Objective To study the correlations of pelvic endometriosis cysts with pain and infertility according to the revised American Fertility Society (r-AFS) staging of endometriosis.Methods We retrospectively studied the clinical information of 258 cases patients with the ovarian endometriosis cysts who undergoing laparoscopic ovarian endometriosis cysts excision from January 2007 to December 2013.In accordance with the r-AFS,the correlation between pelvic adhesions and pain symptoms or infertility was evaluated.Results Among 258 cases with ovarian endometriosis cysts,there were 72.09％ (186/258) of patients presented pelvic pain and 16.28％ of patients presented infertility.The stages of r-AFS were that 16 cases in stage I,80 cases in stage Ⅱ,108 cases of in stage Ⅲ and 54 cases of stage Ⅳ.Also,186 cases with pain symptom,77.42％ (144/186) of patients were in stage Ⅲ and Ⅳ,which was remarkably higher than that of no symptom group (25.00％ (18/72),x2 =64.017,P ＜ 0.05).Among 42 cases with infertility,there were 85.71％ (36/42) of patients were in stage Ⅲ and Ⅳ,remarkably higher than of no infertility group (58.33％ (126/216),x2 =11.283,P ＜ 0.05).Conclusion The r-AFS stage of pelvic distribution in ovarian endometriosis cyst is closely correlated with pain symptoms and infertility.Patients in stage Ⅲ and Ⅳ with pain and infertility are more significant.
