Conservative approach to rectosigmoid endometriosis: a cohort study

被引：11

作者：

Egekvist, Anne G. ^{[1
,2
]}

Marinovskij, Edvard ^{[3
]}

Forman, Axel ^{[1
,2
]}

Kesmodel, Ulrik S. ^{[4
,5
]}

Riiskjaer, Mads ^{[1
,2
]}

Seyer-Hansen, Mikkel ^{[1
,2
]}

机构：

[1] Aarhus Univ, Dept Clin Med, Aarhus, Denmark

[2] Aarhus Univ Hosp, Dept Obstet & Gynecol, Aarhus, Denmark

[3] Aarhus Univ Hosp, MR Ctr, Aarhus, Denmark

[4] Herlev & Gentofte Univ Hosp, Dept Obstet & Gynecol, Herlev, Denmark

[5] Univ Copenhagen, Inst Clin Med, Copenhagen, Denmark

来源：

ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA | 2017年 / 96卷 / 06期

关键词：

Endometriosis; deeply infiltrating endometriosis; rectosigmoid endometriosis; medical treatment; surgery; laparoscopy; RECTOVAGINAL ENDOMETRIOSIS; INFILTRATING ENDOMETRIOSIS; LAPAROSCOPIC SURGERY; DEEP ENDOMETRIOSIS; SURGICAL-TREATMENT; DISEASE; BOWEL; RECURRENCE; MANAGEMENT; RESECTION;

D O I：

10.1111/aogs.13094

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

IntroductionThe aim of the study was to assess the risk of surgery after initial conservative treatment of rectosigmoid endometriosis in relation to demographic data. Material and methodsThe study was conducted on the tertiary endometriosis referral unit, Aarhus University Hospital. Medical records, from patients seen from January 2009 onwards with a diagnosis of rectosigmoid endometriosis and more than 6 months' follow up were audited. Demographic data, results of magnetic resonance imaging and time to secondary surgery for rectosigmoid endometriosis were registered. ResultsData on 238 patients diagnosed with rectosigmoid endometriosis were included. In all, 78 (32.8%) patients had primary surgery, 27 (11.3%) had secondary surgery and 133 (55.9%) continued conservative treatment throughout the observation period. Patients who underwent primary or secondary surgery were younger than patients continuing conservative treatment. ConclusionsIn a tertiary referral center where about half of patients with rectosigmoid endometriosis were scheduled for conservative treatment, more than 80% of these avoided surgery.

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收藏

页码：745 / 750

页数：6

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