지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1,079 - 1,086 (8page)
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초록· 키워드
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Purpose: This study aimed to evaluate the prognostic value of each component of the revised American Fertility Society (rAFS) classification system for the first recurrenceof endometriosis after conservative laparoscopy. Materials and Methods:As this was a retrospective cohort study, data were collected by reviewing medical records. A total of 379 women ages 18 to 49 years were included. Women who underwent conservative laparoscopy with histologic confirmation of endometriosisat Gangnam Severance Hospital between March 2003 and May 2010 were included. Individual components of the rAFS classification system as well as preoperativeserum CA-125 levels were retrospectively analyzed to assess their prognosticvalues for recurrence of endometriosis. Results: Of 379 patients, 80 (21.2%) were found to have recurrence of endometriosis. The median duration of follow-up was 19.0 months, and the mean age at the time of surgery was 31.8±6.7 years. In endometriosis of advanced stage, younger age at the time of surgery, bilateral ovariancysts at the time of diagnosis, a rAFS ovarian adhesion score >24, and complete cul-de-sac obliteration were independent risk factors of poor outcomes, and a rAFS ovarian adhesion score >24 had the highest risk of recurrence [hazard ratio=2.948 (95% CI: 1.116‒7.789), p=0.029]. Conclusion: Our results suggest that of the rAFS adnexal adhesion scores, the ovarian adhesion score rather than the tubal adhesionscore was associated with a significantly increased risk of recurrent endometriosis.
The preoperative serum CA-125 level may be also a significant prognostic factor for recurrence, as known. However, it seemed to only have borderline significancein affecting recurrence in the current study.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
/ 1997 / Revised American Society for Reproductive Medicine classification of endometriosis: 1996 / Fertil Steril 67 : 817 ~ 821
Cheong Y / 2008 / Laparoscopic surgery for endometriosis: how often do we need to re-operate? / J Obstet Gynaecol 28 : 82 ~ 85
Cho S / 2008 / Neutrophil-to-lymphocyte ratio as an adjunct to CA-125 for the diagnosis of endometriosis / Fertil Steril 90 : 2073 ~ 2079
Farquhar CM / 2000 / Extracts from the “clinical evidence”. Endometriosis / BMJ 320 : 1449 ~ 1452
Fedele L / 2004 / Long-term follow-up after conservative surgery for rectovaginal endometriosis / Am J Obstet Gynecol 190 : 1020 ~ 1024
Cheong Y / 2008 / Laparoscopic surgery for endometriosis: how often do we need to re-operate? / J Obstet Gynaecol 28 : 82 ~ 85
Cho S / 2008 / Neutrophil-to-lymphocyte ratio as an adjunct to CA-125 for the diagnosis of endometriosis / Fertil Steril 90 : 2073 ~ 2079
Farquhar CM / 2000 / Extracts from the “clinical evidence”. Endometriosis / BMJ 320 : 1449 ~ 1452
Fedele L / 2004 / Long-term follow-up after conservative surgery for rectovaginal endometriosis / Am J Obstet Gynecol 190 : 1020 ~ 1024
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