Study Objective

Endometriosis is the most common cause of secondary dysmenorrhea among adolescents. Data on postoperative symptoms of the disease in adolescents are limited. In this study we aimed to describe the clinical characteristics and postoperative symptoms of adolescent endometriosis in our center.

Design

Retrospective cohort study.

Setting

Tertiary care institution.

Participants

Eighty-five adolescents with surgically confirmed endometriosis, age younger than 19 years, were included.

Interventions

None.

Main Outcome Measures

Clinical characteristics including demographic factors, pelvic symptoms, and changes of pelvic pain after surgery.

Results

Of 11,236 patients with endometriosis who received surgical treatment between January 2008 and January 2018 in our department, 85 adolescents (85/11,236; 0.76%) were included. The mean age at the time of surgery was 16.3 (±2.4) years and pelvic pain was the main symptoms which occurred in 73/85 (85.9%). Forty-four of the 85 patients (51.8%) had associated genital malformations. The patients with genital malformations tended to present with a younger age at the time of surgery (15.1 ± 2.4 vs 17.6 ± 1.7 years; P < .001) and a shorter duration of symptoms to time of surgery (1.5 ± 1.3 vs 2.3 ± 2.1 years; P = .033). The median follow-up time was 56 months (range, 24-140 months) after surgery, and the pelvic pain had disappeared in 41.7% of patients, improved in 38.3% of patients, and had no change or worsened in 20.0% patients.

Conclusion

Pelvic pain was the main symptom in adolescents with endometriosis and was greatly improved after surgery. It should also be noted that genital malformation might be an important factor in younger adolescents with endometriosis.

中文翻译：

---

85例子宫内膜异位症的临床特征和术后症状。

研究目的

子宫内膜异位症是青少年继发性痛经的最常见原因。青少年疾病的术后症状数据有限。在这项研究中，我们旨在描述我们中心青少年子宫内膜异位症的临床特征和术后症状。

设计

回顾性队列研究。

设置

三级护理机构。

参加者

包括八十五名经手术证实的子宫内膜异位的青少年，年龄小于19岁。

干预措施

没有。

主要观察指标

临床特征包括人口统计学因素，骨盆症状以及手术后骨盆疼痛的变化。

结果

在我们科室于2008年1月至2018年1月期间接受手术治疗的11,236例子宫内膜异位患者中，包括85名青少年（85 / 11,236; 0.76％）。手术时的平均年龄为16.3（±2.4）岁，骨盆疼痛是主要症状，发生在73/85（85.9％）。85名患者中有44名（51.8％）伴有生殖器畸形。生殖器畸形的患者在手术时往往年龄偏小（15.1±2.4 vs 17.6±1.7岁；P  <.001），症状到手术时间更短（1.5±1.3 vs 2.3±2.1）年; P = .033）。术后中位随访时间为56个月（范围24-140个月），盆腔痛在41.7％的患者中消失，在38.3％的患者中得到改善，在20.0％的患者中没有改变或恶化。

结论

骨盆痛是青少年子宫内膜异位症的主要症状，手术后症状得到了很大改善。还应注意，生殖器畸形可能是患有子宫内膜异位的年轻青少年的重要因素。