摘要
Abstract
Objective:To analyze the clinical characteristics,surgical procedures,perioperative outcomes,and prognosis of lapa-roscopic surgery for ureteral endometriosis(UE),explore the impact of preoperative medication on the surgery and perioperative out-comes,and identify the risk factors for conversion to open surgery.Methods:The clinical data of 73 UE patients who underwent laparo-scopic surgery from Jan.2010 to Jan.2024 were retrospectively analyzed.According to whether they received preoperative medication or not,the patients were divided into the medication group(n=30)and the non-medication group(n=43).The clinical information,sur-gical outcomes,and follow-up data of the patients were collected.Univariate and multivariate logistic regression analyses were used to evaluate the risk factors for conversion to open surgery.Results:Among the 73 UE patients,dysmenorrhea(65.8%)was the most com-mon clinical manifestation,and 58.9%of the patients had no characteristic urinary system manifestations.The maximum diameter of the lesions in the medication group was smaller than that in the non-medication group(P=0.011),but there were no significant differences between the two groups in terms of surgical procedures,operation time,intraoperative blood loss,postoperative recurrence rate,and com-plication incidence(P>0.05).Conversion to open surgery occurred in 12 patients(16.4%).Multivariate analysis showed that a histo-ry of previous endometriosis surgery,resection and reconstruction of the ureteral stricture segment,and involvement of the parametrial tissues were independent influencing factors for conversion to open surgery.Conclusions:The clinical manifestations of UE are often in-sidious,with a frequent absence of typical urinary symptoms,and it often presents with a multifocal distribution.Preoperative medication can reduce the maximum diameter of the lesions,but has no significant impact on the surgical procedures and perioperative outcomes.A history of previous endometriosis surgery,resection and reconstruction of the ureteral stricture segment,and involvement of the parame-trial tissues are independent influencing factors for conversion to open surgery.关键词
输尿管子宫内膜异位症/腹腔镜检查/药物疗法/中转开腹/影响因素分析Key words
Ureteral endometriosis/Laparoscopy/Drug therapy/Conversion to laparotomy/Root cause analysis分类
医药卫生
