直肠阴道子宫内膜异位症是否为进展性疾病  

Is rectovaginal endometriosis a progressive disease?

作　　者：Fedele L. Bianchi S. Zanconato G. 侯巍 

出　　处：《世界核心医学期刊文摘（妇产科学分册）》2005年第4期11-11,共1页Core Journal in Obstetrics/Gynecology

摘　　要：The purpose of this study was to observe the natural history of untreated asymptomatic rectovaginal endometriosis. This was a prospective, observational study. Eightyeight patients with untreated asymptomatic rectovaginal endometriosis were followed for 1 to 9 years. Pain symptoms and clinical and transrectal ultrasonographic findings were evaluated before and every 6 months after diagnosis. Two patients had specific symptoms that were attributable to rectovaginal endometriosis that was associated with an increase in lesion size and underwent surgery. In 4 other patients, the size of the endometriotic lesions increased, but the patients remained symptom free. The estimated cumulative proportion of patients with progression of disease and/or appearance of pain symptoms that were attributable to rectovaginal endometriosis after 6 years of follow up was 9.7%. For the remaining patients, the followup period was uneventful, with no detectable clinical nor echographic changes of the lesions and with no appearance of new symptoms. Progression of the disease and appearance of specific symptoms rarely occurred in patients with asymptomatic rectovaginal endometriosis.The purpose of this study was to observe the natural history of untreated asymptomatic rectovaginal endometriosis. This was a prospective, observational study. Eightyeight patients with untreated asymptomatic rectovaginal endometriosis were followed for 1 to 9 years. Pain symptoms and clinical and transrectal ultrasonographic findings were evaluated before and every 6 months after diagnosis. Two patients had specific symptoms that were attributable to rectovaginal endometriosis that was associated with an increase in lesion size and underwent surgery. In 4 other patients, the size of the endometriotic lesions increased, but the patients remained symptom free. The estimated cumulative proportion of patients with progression of disease and/or appearance of pain symptoms that were attributable to rectovaginal endometriosis after 6 years of follow up was 9.7%. For the remaining patients, the followup period was uneventful, with no detectable clinical nor echographic changes of the lesions and with no appearance of new symptoms. Progression of the disease and appearance of specific symptoms rarely occurred in patients with asymptomatic rectovaginal endometriosis.

关 键 词：子宫内膜异位症 进展性疾病 病灶范围 无症状性 自然病史 超声检查结果 前瞻性观察 

分 类 号：R711.71[医药卫生—妇产科学]