腹腔鏡下子宮内膜症性嚢胞摘出術後の再発のリスク因子について

概要

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Objective: To identify factors associated with endometrioma recurrence after laparoscopic cystectomy.Design: Prospective observational study.Setting: Toho University Medical Center, Sakura HospitalPatient: Patients (N=153) undergoing laparoscopic cystectomy for ovarian endometrioma, followed postoperatively for two to five years.Intervention: Subjects were grouped by recurrent and nonrecurrent status. Main outcome: Evaluated parameters included endometrioma recurrence, patient age, prior surgery, previous medical treatment, cyst diameter, endometriosis stage and score, percentage of bilateral cysts, presence of multiple cysts, controlled ovarian hyperstimulation, and postoperative pregnancy.Result: Endometrioma recurred postoperatively at a rate of 22.9%. With fertility intact, prior surgery, bilateral cysts, and the presence of multiple cysts were associated with endometrioma recurrence. For infertile patients, older age, the presence of multiple cysts, and controlled ovarian hyperstimulation were identified as risk factors.Conclusion: The ability to effect complete surgical excision of endometrioma may significantly impact the risk of recurrence.