宝应县中医医院子宫内膜异位症推荐专家

简介:

江苏省宝应县中医医院是一所创建于1985年的国家二级甲等综合中医医院，隶属于江苏扬州地区，拥有487名在职职工。医院设有门、急诊部、住院部，开放床位400张，拟增至800张，年门诊人次达17万，年出院病人16700人次。医院拥有一级科室内科、外科、妇科、肿瘤科、中医科等16个，二级科室有心内科、中风病科、肺病科等14个，并设有省基层中医特色专科和市级重点专科。医院在治疗子宫内膜异位症（endometriosis）方面具有丰富的经验，拥有一流的名医团队，如省市名老中医4名，县级名医4名。此外，医院配备3.0磁共振（MRI）、320排CT、PACS系统等先进设备，为患者提供精准、高效的医疗服务。江苏省宝应县中医医院致力于为广大患者提供优质的诊疗服务，尤其是对子宫内膜异位症（endometriosis）等妇科疾病的治疗具有显著优势。子宫内膜异位症（endometriosis）是指有活性的内膜细胞种植在子宫内膜以外的位置而形成的一种女性常见妇科疾病。内膜细胞本该生长在子宫腔内,但由于子宫腔通过输卵管与盆腔相通,因此使得内膜细胞可经由输卵管进入盆腔异位生长。，子宫内膜种植,免疫防御功能缺陷,遗传与体质的因素,内分泌功能失调，盆腔，子宫内膜异位症的治疗方案,因病情的轻重,患者的年龄和生育情况而有所不同。如病情较重,或表现为重的痛经,或盆腔检查发现有肯定的内膜异位结节,就必须采取药物或手术治疗，卵巢恶性肿瘤、盆腔炎性肿块和子宫腺肌病，尽量少吃含有雌激素的食物,如大豆、洋葱、黑米、小麦等，B型超声检查,腹腔镜检查,实验室检查，。

false 李洋住院医师

二级甲等宝应县中医医院

好评率：100% 接诊量：20 平均响应：-

颈椎病，肩周炎，腰椎间盘突出症，下肢酸痛，膝关节疼痛，脚踝扭伤，头晕头痛，耳鸣耳聋

true 李晓晴主治医师

二级甲等宝应县中医医院

好评率：100% 接诊量：8 平均响应：-

擅长：支气管炎、肺部感染、支气管哮喘、慢性阻塞性肺疾病等呼吸系统疾病的诊治。

true 金宏伟主治医师

二级甲等宝应县中医医院

好评率：100% 接诊量：697 平均响应：-

肛肠科常见疾病

true 王慧主治医师

二级甲等宝应县中医医院

好评率：99% 接诊量：757 平均响应：-

胃十二指肠疾病、功能性消化不良、肠道疾病、便秘、腹泻

接诊医生：

2024-09-18 18:57:13

科普文章

子宫内膜异位症的类型与卵巢癌风险

以下内容来源于pubmed。

Endometriosis Typology and Ovarian Cancer Risk

Abstract

Importance: Endometriosis has been associated with an increased risk of ovarian cancer; however, the associations between endometriosis subtypes and ovarian cancer histotypes have not been well-described.

Objective: To evaluate the associations of endometriosis subtypes with incidence of ovarian cancer, both overall and by histotype.

Design, setting, and participants: Population-based cohort study using data from the Utah Population Database. The cohort was assembled by matching 78 893 women with endometriosis in a 1:5 ratio to women without endometriosis.

Exposures: Endometriosis cases were identified via electronic health records and categorized as superficial endometriosis, ovarian endometriomas, deep infiltrating endometriosis, or other.

Main outcomes and measures: Estimated adjusted hazard ratios (aHRs), adjusted risk differences (aRDs) per 10 000 women, and 95% CIs for overall ovarian cancer, type I ovarian cancer, and type II ovarian cancer comparing women with each type of endometriosis with women without endometriosis. Models accounted for sociodemographic factors, reproductive history, and past gynecologic operations.

Results: In this Utah-based cohort, the mean (SD) age at first endometriosis diagnosis was 36 (10) years. There were 597 women with ovarian cancer. Ovarian cancer risk was higher among women with endometriosis compared with women without endometriosis (aHR, 4.20 [95% CI, 3.59-4.91]; aRD, 9.90 [95% CI, 7.22-12.57]), and risk of type I ovarian cancer was especially high (aHR, 7.48 [95% CI, 5.80-9.65]; aRD, 7.53 [95% CI, 5.46-9.61]). Ovarian cancer risk was highest in women with deep infiltrating endometriosis and/or ovarian endometriomas for all ovarian cancers (aHR, 9.66 [95% CI, 7.77-12.00]; aRD, 26.71 [95% CI, 20.01-33.41]), type I ovarian cancer (aHR, 18.96 [95% CI, 13.78-26.08]; aRD, 19.57 [95% CI, 13.80-25.35]), and type II ovarian cancer (aHR, 3.72 [95% CI, 2.31-5.98]; aRD, 2.42 [95% CI, -0.01 to 4.85]).

Conclusions and relevance: Ovarian cancer risk was markedly increased among women with ovarian endometriomas and/or deep infiltrating endometriosis. This population may benefit from counseling regarding ovarian cancer risk and prevention and could be an important population for targeted screening and prevention studies.