Risk of appendiceal endometriosis among women with deep‐infiltrating endometriosis

Moulder Janelle K.; Siedhoff Matthew T.; Melvin Kathryn L.; Jarvis Elizabeth G.; Hobbs Kumari A.; Garrett Joanne

摘要

Abstract <section numbered="no" xml:id="ijgo12286-sec-0001"> <title type="main">Objective > To determine whether deep‐infiltrating endometriosis ( <fc>DE</fc> ) carries an increased risk of appendiceal endometriosis (AppE) as compared with superficial endometriosis or no endometriosis. </section> <section numbered="no" xml:id="ijgo12286-sec-0002"> <title type="main">Methods > In a retrospective study, data were obtained by chart review of an internal database for women who underwent coincidental appendectomy during benign gynecologic surgery between July 2009 and February 2014 at a tertiary referral center in the <fc>USA</fc> . Univariate, bivariate, and regression analyses were performed. The primary exposure was surgically documented endometriosis ( <fc>DE</fc> , superficial, or no endometriosis). The primary outcome was AppE. </section> <section numbered="no" xml:id="ijgo12286-sec-0003"> <title type="main">Results > Endometriosis was diagnosed for 151 (38.2%) of 395 women; 82 (54.3%) had <fc>DE</fc> . The prevalence of AppE was 13.2% (52/395) overall; 8 (11.6%) of 69 women with superficial endometriosis and 32 (39.0%) of 82 with <fc>DE</fc> were affected. Frequency of AppE was increased among women with <fc>DE</fc> , abnormal appendix appearance, and surgical indication (all P 0.001). Women with <fc>DE</fc> had a 5.9‐fold (95% confidence interval [ <fc>CI</fc> ] 2.9–11.9) higher risk of AppE compared with women without endometriosis, controlling for appendiceal appearance and surgical indication, and a 2.7‐fold (95% <fc>CI</fc> 1.2–6.2) higher risk of AppE compared with those with superficial endometriosis. </section> <section numbered="no" xml:id="ijgo12286-sec-0004"> <title type="main">Conclusion > Women with <fc>DE</fc> have increased risk of AppE. Coincidental appendectomy should form part of complete endometriosis excision for these patients. </section> </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract XMLNS =“http://www.wiley.com/namespaces/wiley”type =“main”xml：id =“ijgo12286-abs-abs-0001”> <标题类型=“main”>抽象</ title> <编号为=“否”XML：ID =“IJGO12286-SEC-0001”> <标题类型=“main”>目标</标题> >以确定是否深渗透子宫内膜异位症（<FC> DE </ FC> ）与浅表内膜异位症或没有子宫内膜异位症相比，携带阑尾子宫内膜异位症（APPE）的风险增加。 </ p> </ section> <secto numbyed =“no”xml：id =“ijgo12286-sec-0002”> <标题类型=“main”>方法</ title> >在回顾性研究中，数据是通过在2009年7月至2014年7月至2014年2月在<FC> USA </ FC>的第三次推荐中心之间进行友好妇科手术的妇女妇女妇女妇女内部数据库的妇女内部数据库获得。进行单变量，双变量和回归分析。主要曝光是手术记录的子宫内膜异位症（<FC> DE </ FC>，浅表或没有子宫内膜异位症）。主要结果是Appe。 </ p> </段> <部分编号=“否”XML：ID =“IJGO12286-SEC-0003”> <标题类型=“main”>结果</标题> >子宫内膜异位症被诊断为151（38.2 ％）395名妇女; 82（54.3％）具有<FC> DE </ FC>。总体上的APPE患病率为13.2％（52/395）; 8（11.6％）69名具有浅表子宫内膜异位症和32（39.0％）的82个患有<FC> DE </ FC>的妇女受到影响。患有APPE的频率增加，伴随阑尾异常异常和手术指示（全部<1> 0.001）。患有<FC> DE </ FC>的女性有5.9倍（95％置信区间[<FC> CI </ FC>] 2.9-11.9）与没有子宫内膜异位症的女性相比，伴有的患者风险更高，控制阑尾外观和外科手术与具有浅表内膜异位症的人相比，迹象和2.7倍（95％<FC> CI> 1.2-6.2）的风险较高。 </ p> </ section> <secto numbyed =“no”xml：id =“ijgo12286-sec-0004”> <title type =“main”>结论</ title> >女性与<fc> de <de < / FC>增加了Appe风险。巧合的阑尾切除术应为这些患者组成完全子宫内膜异位症切除的一部分。 </ p> </ section> </ abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-21245/'>《International journal of gynecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics》</a> <b style="margin: 0 2px;">|</b><span>2017年第2期</span><b style="margin: 0 2px;">|</b><span>共6页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Moulder Janelle K.&option=202" target="_blank" rel="nofollow">Moulder Janelle K.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Siedhoff Matthew T.&option=202" target="_blank" rel="nofollow">Siedhoff Matthew T.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Melvin Kathryn L.&option=202" target="_blank" rel="nofollow">Melvin Kathryn L.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Jarvis Elizabeth G.&option=202" target="_blank" rel="nofollow">Jarvis Elizabeth G.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Hobbs Kumari A.&option=202" target="_blank" rel="nofollow">Hobbs Kumari A.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Garrett Joanne&option=202" target="_blank" rel="nofollow">Garrett Joanne;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Division of Minimally Invasive Gynecologic SurgeryUniversity of North CarolinaChapel Hill NC USA;</p> <p>Division of Minimally Invasive Gynecologic SurgeryCedars‐Sinai Medical CenterLos?Angeles CA USA;</p> <p>Yale School of NursingNew Haven CT USA;</p> <p>Department of Obstetrics and GynecologyWakeMed Physician PracticesRaleigh NC USA;</p> <p>Department of Obstetrics and GynecologyNew York‐Presbyterian/Lower Manhattan HospitalNew York NY USA;</p> <p>Division of Family PlanningUniversity of North CarolinaChapel Hill NC USA;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/197.html" title="妇产科学">妇产科学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Appendiceal endometriosis&option=203" rel="nofollow">Appendiceal endometriosis;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Appendix&option=203" rel="nofollow">Appendix;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Deep‐infiltrating endometriosis&option=203" rel="nofollow">Deep‐infiltrating endometriosis;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Endometriosis&option=203" rel="nofollow">Endometriosis;</a> </p> <div class="translation"> 机译：阑尾子宫内膜异位症;附录;深浸润子宫内膜异位症;子宫内膜异位症; 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