Coagulation or excision of ovarian endometriomas?

被引：130

作者：

Vercellini, P

Chapron, C

De Giorgi, O

Consonni, D

Frontino, G

Crosignani, PG

机构：

[1] Univ Milan, Ist Luigi Mangiagalli, Clin Ostet & Ginecol 1, I-20122 Milan, Italy

[2] Univ Milan, Dept Obstet & Gynecol 1, Milan, Italy

[3] Univ Cochin, Baudelocque Clin, Paris, France

[4] Ist Clin Perfezionamento, Paris, France

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2003年 / 188卷 / 03期

关键词：

endometriosis; ovarian cyst; conservative surgery; laparoscopy;

D O I：

10.1067/mob.2003.7

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

A systematic review was undertaken to determine whether coagulation or laser vaporization of endometriomas is associated with an increase in the risk of cyst recurrence compared with excision of the pseudocapsule. In the four comparative trials identified, endometrioma recurrence was reported in 39 of 212 (18.4%) women treated with coagulation or laser vaporization compared with 19 of 295 (6.4%) in those who underwent cystectomy. The odds ratios of endometrioma recurrence ranged from 1.41 to 9.38 with 95% Cls including unity in two studies. The common odds ratio was 3.09 (95% Cl 1.78-5.36). Coagulation or laser vaporization of endometriomas without excision of the pseudocapsule seems to be associated with a significant increase in risk of cyst recurrence.

引用

页码：606 / 610

页数：5

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