腹腔镜治疗青少年子宫内膜异位症  

Laparoscopic treatment of endometriosis in teenagers Stavroulis

作　　者：A.I.Stavroulis Saridogan E. Creighton S.M. Cutner A.S. 党慧敏 

机构地区：[1]Elizabeth Garrett Anderson and Obstetric Hospital, University College London Hospitals NHS Foundation Trust, Huntley Street, London, WC1E 6DH, United Kingdom

出　　处：《世界核心医学期刊文摘（妇产科学分册）》2006年第9期35-36,共2页Core Journal in Obstetrics/Gynecology

摘　　要：Objectives: To determine the frequency and severity of endometriosis in adolescent and teenager girls with chronic pelvic pain (CPP) who fail to respond to medical treatment and to evaluate the outcome of radical laparoscopic surgery for severe endometriosis. Design: Retrospective review of case records of all girls under the age of 21 years who underwent diagnostic and/or operative laparoscopy for CPP unresponsive to medical treatment between January 2001 and December 2003. The operative findings and the response to surgery were retrospectively reviewed. Results: Thirty-one girls were referred. No pelvic abnormalities were detected in 11 patients (35.5% ). Endometriosis was detected in 11 (35.5% ). Six had severe endometriosis. Other diagnoses included: non-functional non-endometrioticovarian cyst (4 patients), functional ovarian cyst (1 patient), hydrosalpinx (bilateral, 1 patient; unilateral, 1 patient) and obstructed uterine horn (2 patients). Of those with severe disease all six were treated laparoscopically without complications. Five were rendered pain free and one had an improvement in symptoms. Conclusions: Endometriosis can occur in adolescent and teenager girls. Laparoscopy should be carried out in all adolescents and teenagers with CPP unresponsive tomedical treatment. This the first study reporting the outcome of radical excision treatment for severe endometriosis in this age group and early results are encouraging.Objectives： To determine the frequency and severity of endometriosis in adolescent and teenager girls with chronic pelvic pain （CPP） who fail to respond to medical treatment and to evaluate the outcome of radical laparoscopic surgery for severe endometriosis. Design： Retrospective review of case records of all girls under the age of 21 years who underwent diagnostic and/or operative laparoscopy for CPP unresponsive to medical treatment between January 2001 and December 2003. The operative findings and the response to surgery were retrospectivel. reviewed. Results： Thirty-one girls were referred. No pelvic abnormalities were detected in 11 patients （35.5%）. Endometriosis was detected in 11 （35.5%） . Six had severe endometriosis. Other diagnoses included： non-functional non-endometriotic ovarian cyst （4 patients）, functional ovarian cyst （1 patient）, hydrosalpinx （bilateral, 1 patient; unilateral, 1 patient） and obstructed uterine horn （2 patients）. Of those with severe disease all six were treated laparoscopically without complications. Five were rendered pain free and one had an improvement in symptoms. Conclusions： Endometriosis can occur in adolescent and teenager girls. Laparoscopy should be carried out in all adolescents and teenagers with CPP unresponsive tomedical treatment. This the first study reporting the outcome of radical excision treatment for severe endometriosis in this age group and early results are encouraging.

关 键 词：子宫内膜异位症 腹腔镜治疗 青少年女性 功能性卵巢囊肿 慢性盆腔疼痛 腹腔镜根治术 回顾性分析 药物治疗 

分 类 号：R711.71[医药卫生—妇产科学]