...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The journal of obstetrics and gynaecology research >Individualized management of umbilical endometriosis: A report of seven cases
【24h】

Individualized management of umbilical endometriosis: A report of seven cases

机译：脐带子宫内膜异位的个体化管理：七例报告

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Aim: The aim of this study was to review diagnostic/therapeutic strategies of umbilical endometriosis managed in our department and evaluate the effectiveness of these strategies. Methods: Medical records for patients with diagnosis of endometriosis managed from 1999 through 2011 in the University of Tokyo Hospital were retrospectively reviewed. Cases with diagnosis of umbilical endometriosis were identified. Clinical information of age, gravida, parity, histories of surgery and oral contraceptive (OC), management for the disease prior to the first visit, symptoms, patients' desire for pregnancy, diagnostic/therapeutic methods and prognosis were reviewed and summarized. Results: During the period, 2530 patients with diagnosis of endometriosis were identified. Seven patients had diagnosis of umbilical endometriosis, giving an incidence of 0.29% of all endometriosis cases and 5.6% of extragenital endometriosis cases. A definitive diagnosis was made by histological examination following a biopsy (two cases) or a resection (three cases). A clinical diagnosis was made by empirical treatment with OC (one case) or dienogest (one case).With regard to therapy, three patients chose expectant management and did not require therapeutic intervention. Three patients began OC and symptoms were well controlled in all patients. One patient who wished to conceive chose a wide resection followed by umbilical reconstruction. She became pregnant afterwards and recurrence was not reported. Conclusion: There are various options of diagnostic/therapeutic strategies, such as empirical treatments and OC that can provide individualized management of umbilical endometriosis, congruent with the severity of patient symptoms, age and desire for pregnancy.
机译：目的：本研究的目的是回顾我们部门管理的脐内膜异位症的诊断/治疗策略，并评估这些策略的有效性。方法：回顾性分析1999年至2011年东京大学医院管理的子宫内膜异位症患者的病历。确定了诊断为脐带子宫内膜异位的病例。回顾并总结了年龄，妊娠，胎次，手术史和口服避孕药史，首次就诊前疾病的治疗，症状，患者的妊娠愿望，诊断/治疗方法和预后的临床信息。结果：在此期间，确定了2530例诊断为子宫内膜异位的患者。七名患者被诊断出脐带子宫内膜异位，占所有子宫内膜异位病例的0.29％和生殖器内膜异位病例的5.6％。活检（2例）或切除（3例）后，通过组织学检查做出明确的诊断。临床诊断是通过经验疗法使用OC（1例）或去妊娠（1例）进行的。就治疗而言，3例患者选择了预期治疗，不需要治疗干预。 3例患者开始OC，所有患者的症状得到良好控制。一位希望受孕的患者选择了广泛的切除术，然后进行了脐带重建术。之后她怀孕了，没有复发的报道。结论：诊断/治疗策略有多种选择，例如经验性治疗和OC可以对脐带子宫内膜异位症进行个性化管理，并与患者症状的严重程度，年龄和怀孕意愿相一致。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号