大连市妇女儿童医疗中心（集团）子宫内膜异位症推荐专家

简介:

大连市妇女儿童医疗中心（集团）暨大连市妇幼保健院，成立于2021年，是东北地区规模最大的公立性妇女儿童综合医院。医院以妇女儿童健康为中心，致力于提供全方位的健康服务。集团下设春柳妇产院区、希望广场儿童院区等，拥有先进的医疗设备和技术，是国家卫生健康委四级妇科内镜手术培训基地。在子宫内膜异位症（endometriosis）等妇科疾病治疗方面具有丰富经验，拥有一流的专家团队和先进的治疗技术。医院秉承“人民至上、生命至上”的理念，为患者提供优质的医疗服务，助力妇女儿童健康事业高质量发展。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，。

车耀润主任医师

三级其他大连市妇女儿童医疗中心集团

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擅长妇科良性肿瘤的诊断和治疗，包括子宫肌瘤、卵巢肿瘤、盆腔子宫内膜异位症、子宫腺肌瘤、子宫内膜息肉、宫颈机能不全等疾病的手术治疗，能熟练将宫腔镜、腹腔镜、阴式手术等微创技术应用于妇科肿瘤的治疗中；接受盆底功能障碍性疾病手术治疗的培训，并到同济大学附属同济医院进修，对阴道前后壁膨出、子宫脱垂、压力性尿失禁等盆底功能障碍性疾病能进行个体化的诊断和治疗。

接诊医生：

2024-09-10 04:12:15

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.