外生殖器子宫内膜异位症患者的临床特点

Yu. S. Timofeeva, A. V. Volchek, V. Kuleshov, S. Aidagulova, I. Marinkin
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摘要

采用Fisher精确检验对I-III期外生殖器子宫内膜异位症(EGE)患者的临床特征进行两两比较。最常见(和新诊断的)II期患者的临床体征具有统计学意义的相关性最多:痛经合并原发性不孕症(p = 0,0201),道格拉斯袋内子宫内膜样异位定位(p = 0,0214)和骶子宫韧带定位(p = 0,0259);此外,慢性盆腔疼痛的症状与子宫膀胱间隙(p = 0.0071)和骶-子宫韧带(p = 0.0228)存在子宫内膜样异位之间存在关系。除此之外,他们还注意到灶性子宫腺肌病合并子宫体多发性肌瘤(p = 0000)。在III期EGE患者中,仅发现了一个具有统计学意义(p = 0.0139)的偶发临床体征-性交困难和骶子宫韧带异位。
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CLINICAL CHARACTERISTICS OF PATIENTS WITH EXTERNAL GENITAL ENDOMETRIOSIS
A pairwise comparison of the clinical characteristics of patients with external genital endometriosis (EGE) stages I–III was carried out using Fisher's exact test. Patients with the most common (and newly diagnosed) stage II showed the greatest number of statistically significant correlations between clinical signs: dysmenorrheas with primary infertility (p = 0,0201), with localization of endometrioid heterotopias in the pouch of Douglas (p = 0,0214) and sacro-uterine ligaments (p = 0,0259); in addition, a relationship was found between the symptom of chronic pelvic pain and the presence of endometrioid heterotopias in the uterovesical space (p = 0,0071) and on the sacro-uterine ligaments (p = 0,0228). Along with this, they have a combination of foci of adenomyosis with multiple myoma of the uterine body was noted (p = 0,0000). In patients with stage III EGE, only one statistically significant (p = 0,0139) contingency of clinical signs was revealed — dyspareunia and heterotopias on the sacro-uterine ligaments.
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