Objective:This study was undertaken to analyze the frequency and the determinants of long-term clinically detectable recurrence rate of deep,ovarian,and pelvic endometriosis. Study design:The clinical data of 1106 wom...Objective:This study was undertaken to analyze the frequency and the determinants of long-term clinically detectable recurrence rate of deep,ovarian,and pelvic endometriosis. Study design:The clinical data of 1106 women with first diagnosis of endometriosis observed between 1979 and 2001 were collected. Results:The 4-year recurrence rate was 24.6%,17.8%,30.6%and 23.7%,respectively,for cases of ovarian,pelvic,deep,and ovarian and pelvic endometriosis (P < .05). The recurrence rates decreased in all groups (with the exception of ovarian endometriosis) in the class age 34 years or older,these findings were significant (P < .05). Radicalitywas associated with lower recurrence rates in all the groups. A pregnancy after diagnosis was associated with a reduced risk of recurrence. Conclusion:The study shows that the recurrence rates of endometriosis were higher in case of deep endometriosis and that the risk factors for recurrence were similar among women with endometriosis at different sites.展开更多
Objective:This study was undertaken to determine the frequency of postsurgical ovarian failure in patients undergoing laparoscopic excision of bilateral endometriomas. Study design:Patients who had been operated on fo...Objective:This study was undertaken to determine the frequency of postsurgical ovarian failure in patients undergoing laparoscopic excision of bilateral endometriomas. Study design:Patients who had been operated on for bilateral ovarian endometriosis between January 1995 and December 2003 and who were younger than 40 years at the time of surgery were contacted by telephone and interviewed. Results:Atotal of 126 patients were recruited. Mean ±SD age of patients at the time of surgery was 30.4 ±4.3 years. Postsurgical ovarian failure was documented in 3 cases,corresponding to a rate of 2.4%(95%CI 0.5%-6.8%). In all cases,this complication occurred immediately after surgery. Conclusion:Patients who had been operated on for bilateral endometriomas have a low but definite risk of premature ovarian failure occurring immediately after surgery.展开更多
文摘Objective:This study was undertaken to analyze the frequency and the determinants of long-term clinically detectable recurrence rate of deep,ovarian,and pelvic endometriosis. Study design:The clinical data of 1106 women with first diagnosis of endometriosis observed between 1979 and 2001 were collected. Results:The 4-year recurrence rate was 24.6%,17.8%,30.6%and 23.7%,respectively,for cases of ovarian,pelvic,deep,and ovarian and pelvic endometriosis (P < .05). The recurrence rates decreased in all groups (with the exception of ovarian endometriosis) in the class age 34 years or older,these findings were significant (P < .05). Radicalitywas associated with lower recurrence rates in all the groups. A pregnancy after diagnosis was associated with a reduced risk of recurrence. Conclusion:The study shows that the recurrence rates of endometriosis were higher in case of deep endometriosis and that the risk factors for recurrence were similar among women with endometriosis at different sites.
文摘Objective:This study was undertaken to determine the frequency of postsurgical ovarian failure in patients undergoing laparoscopic excision of bilateral endometriomas. Study design:Patients who had been operated on for bilateral ovarian endometriosis between January 1995 and December 2003 and who were younger than 40 years at the time of surgery were contacted by telephone and interviewed. Results:Atotal of 126 patients were recruited. Mean ±SD age of patients at the time of surgery was 30.4 ±4.3 years. Postsurgical ovarian failure was documented in 3 cases,corresponding to a rate of 2.4%(95%CI 0.5%-6.8%). In all cases,this complication occurred immediately after surgery. Conclusion:Patients who had been operated on for bilateral endometriomas have a low but definite risk of premature ovarian failure occurring immediately after surgery.
