Clinical analysis of 67 cases of extrapelvic endometriosis

Xiang Gao, Airong Shen, Su-ling Geng, Chunli Yang, Han Yi-na
In: Central Plains Medical Journal · 2012 · vol. 39(03) , pp. 21–22 · doi:10.3760/cma.j.issn.1674-4756.2012.03.009 · W3029984221
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This retrospective analysis of 67 extrapelvic endometriosis cases found that while surgery effectively cures the condition, postoperative medical therapy does not significantly reduce recurrence rates compared to no medication.

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This retrospective study analyzed the clinical characteristics, diagnostic approaches, and treatment outcomes for 67 patients with pathologically confirmed extrapelvic endometriosis at a single Chinese hospital between 2003 and 2010. The patient cohort primarily consisted of abdominal wall lesions, with smaller groups presenting in the perineum or vaginal regions, allowing researchers to evaluate the efficacy of surgical intervention versus postoperative medical therapy. Results indicated that while surgery effectively managed the condition with an overall recurrence rate of 12.3% over one to seven years, there was no statistically significant difference in relapse rates between patients who received postoperative medication and those who did not. Consequently, the authors concluded that surgical excision remains the most effective treatment modality and that adjunctive medical therapy does not significantly reduce the risk of disease recurrence. This paper is centrally about endometriosis — specifically focusing on the management and recurrence patterns of extrapelvic variants rather than pelvic disease.

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Abstract

Objective To investigate the clinical manifestation,diagnosis,treatment and the relationship between postoperative medical therapy and the recurrence of extrapelvic endometriosis.Methods The medical records of 67 patients with pathologically proven extrapelvic endometriosis from April 2003 to April 2010 in the Third Affiliated Hospital of Zhengzhou University were retrospectively reviewed,including 54 cases of abdominal wall endometriosis ( including I case of mesogastrium),6 cases of perineum endometriosis,7 cases of others(including 5 cases of posterior formix of vagina and 2 cases of vagina wall).Results Extrapelvic endometriosis can be diagposed through the typically clinical symptoms and accessory examination.The l -7 years ' follow-up investigation showed that the relapse rate was 12.3％,10.5％ for postoperative medication group and 13.2％ for non-medication respectively,there was no significant difference between the two groups (P ＞ 0.05).Conclusions Surgery is the most effctive way to cure extrapelvic endometriosis,medical therapy after surgery can not reduce the recurrence rate effectively. Key words: Endometriosis;  Extrapelvic;  Diagnosis;  Surgery;  Recurrence rate
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摘要目的 探讨盆腔外子宫内膜异位症(简称内异症)患者的临床表现、诊断、治疗及术后用药与复发的关系.方法 回顾性分析郑州大学第三附属医院2003年4月至2010年4月收治的67例经病理证实的盆腔外内异症患者,其中腹壁内异症54例(包括脐部1例),会阴内异症6例,其他内异症共7例(包括阴道后穹窿5例、阴道壁2例).结果 盆腔外内异症依据典型临床症状及辅助检查多可明确诊断,行手术切除后随访1～7年,复发率为12.3％,其中术后用药者中复发率为10.5％,未用药者复发率为13.2％,两组比较差异无统计学意义(P＞0.05).结论 手术是治疗盆腔外内异症最有效的方法,术后应用抗内异症药物不能有效降低复发率. 更多相关知识 abstractsObjective To investigate the clinical manifestation,diagnosis,treatment and the relationship between postoperative medical therapy and the recurrence of extrapelvic endometriosis.Methods The medical records of 67 patients with pathologically proven extrapelvic endometriosis from April 2003 to April 2010 in the Third Affiliated Hospital of Zhengzhou University were retrospectively reviewed,including 54 cases of abdominal wall endometriosis ( including I case of mesogastrium),6 cases of perineum endometriosis,7 cases of others(including 5 cases of posterior formix of vagina and 2 cases of vagina wall).Results Extrapelvic endometriosis can be diagposed through the typically clinical symptoms and accessory examination.The l -7 years ' follow-up investigation showed that the relapse rate was 12.3％,10.5％ for postoperative medication group and 13.2％ for non-medication respectively,there was no significant difference between the two groups (P ＞ 0.05).Conclusions Surgery is the most effctive way to cure extrapelvic endometriosis,medical therapy after surgery can not reduce the recurrence rate effectively. More相关知识 - 浏览188 - 被引4 - 下载72 相似文献 - 中文期刊 - 外文期刊 - 学位论文 - 会议论文

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