Objective

To describe the anatomical distribution and intraoperative morphology of endosalpingiosis.

Design

Retrospective observational video study.

Setting

Data and intraoperative videos were reviewed by two independent reviewers at one referral center. The study was approved by the local ethics committee.

Patient(s)

A total of 77 patients with histologically proven endosalpingiosis from 2007–2020.

Intervention(s)

None.

Main Outcome Measure(s)

The primary endpoints were anatomical distribution and macroscopic phenotype. The secondary endpoints were demographic and clinical characteristics as well as associated diseases.

Result(s)

Of the 77 patients with endosalpingiosis, the mean age was 40.2 years (standard deviation, 16.4 years), mean body mass index 24.1 kg/m² (standard deviation, 5.7 kg/m²), 59.7% (n = 46) were nulligravide, 70.1% (n = 54) nulliparous, 22.1% (n = 17) suffered of infertility, and 53.2% (n = 41) had at least one previous abdominal or vaginal surgery. Endometriosis was associated in 53.2 % (n = 41) and malignancies in 28.6% (n = 22, 7 endometrial cancers, 1 uterine carcinosarcoma, 8 borderline ovarian tumors, 5 epithelial ovarian cancers, and 1 yolk sac tumor of the ovary). Anatomic distribution and varying intraoperative phenotypes were demonstrated in the video presentation.

Conclusion(s)

In the majority of this population, endosalpingiosis was located in the pelvis. The higher prevalence of specific gynecologic tumors is consistent with previous results. In phenotype, most lesions appear to be less spectacular than prominent in the literature. For further studies on the relevance as a risk factor for malignancy and consequently clinical recommendations, sound knowledge about endosalpingiosis of laparoscopists as initial diagnosticians is crucial.

中文翻译：

---

术中如何以及在何处期待输卵管内病变

客观的

描述输卵管内膜炎的解剖分布和术中形态。

设计

回顾性观察视频研究。

环境

数据和术中视频由一个转诊中心的两名独立审查员审查。该研究得到了当地伦理委员会的批准。

耐心）

从 2007 年到 2020 年，共有 77 名经组织学证实的输卵管内膜炎患者。

干预措施

没有。

主要观察指标）

主要终点是解剖分布和宏观表型。次要终点是人口统计学和临床​​特征以及相关疾病。

结果）

在 77 名输卵管内膜炎患者中，平均年龄为 40.2 岁（标准差，16.4 岁），平均体重指数 24.1 kg/m ²（标准差，5.7 kg/m ²），59.7%（n = 46）未妊娠, 70.1% (n = 54) 未生育，22.1% (n = 17) 患有不孕症，53.2% (n = 41) 曾至少接受过一次腹部或阴道手术。子宫内膜异位症与 53.2%（n = 41）和 28.6%（n = 22、7 例子宫内膜癌、1 例子宫癌肉瘤、8 例交界性卵巢肿瘤、5 例上皮性卵巢癌和 1 例卵巢卵黄囊肿瘤）相关。视频演示中展示了解剖分布和不同的术中表型。

结论

在该人群中的大多数中，输卵管内膜炎位于骨盆。特定妇科肿瘤的较高患病率与先前的结果一致。在表型中，大多数病变似乎不如文献中的突出那么引人注目。为了进一步研究作为恶性肿瘤危险因素的相关性并因此提出临床建议，腹腔镜医师作为初始诊断者对输卵管内镜的充分了解至关重要。