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| An analysis of clinical characteristics of ovarian endometrioma patients without dysmenorrhea and the risk factor of postoperative recurrence |
| Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730 |
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Abstract Objective: To study the clinical characteristics of ovarian endometrioma patients without dysmenorrhea, and to identify the risk factors of postoperative recurrence. Methods: The clinical data of patients with pathologically diagnosed ovarian endometrioma and without dysmenorrhea were collected and analyzed. Their preoperative information, operative information, and postoperative information were statistical analyzed by SPSS. Coax’s proportional hazard univariate and multivariate analyses were performed to identify the risk factors of postoperative recurrence. Results: Totally 85 patients were included. Although they had no dysmenorrhea, they could still have dyspareunia, chronic pelvic pain, dyschezia and so on. Peritoneum endometriosis or deep infiltrating endometriosis was detected in 74.1% patients. Clinical stages of most of the patients were III or IV. Postoperative recurrence rate was 4.7%. Results of univariate analysis showed that pelvic surgery history was the risk factor of recurrence, however results of multivariate analyses hadn’t shown the same result. Conclusion: Ovarian endometrioma patients without dysmenorrhea often accompanies by other types of pelvic endometriosis and presents with high clinical stage. Pelvic surgery history may be the risk factor of recurrence.
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