THỰC TRẠNG CHẨN ĐOÁN VÀ ĐIỀU TRỊ LẠC NỘI MẠC TỬ CUNG TẠI BỆNH VIỆN PHỤ SẢN HẢI PHÒNG TRONG HAI NĂM 2021-2022

Abstract

Objective: 1. Describe the clinical and paraclinical characteristics of endometriosis cases examined, are diagnosed and treated at Hai Phong Obstetrics and Gynecology hospital in 2021-2022. 2. Comment on the treatment results of the above cases. Sample size: All patients who come for examination and are diagnosed with endometriosis and treated for endometriosis at Hai Phong Obstetrics and Gynecology hospital in the two years 2021-2022. Study method: descriptive cross-sectional study. Outcome and conclusion: The average age: 35.62±7.74 and the age group from 30-39 has the highest rate, account for 40.5%. Clinical presentation: dysmenorrhea account for 58.5%, pelvic pain 46.5%, infertility account for 25.5%, the result of examination found appendage tumor 48% and a large uterus account for 43.5%.  Location of endometriosis on ultrasound: myometrium (43.5%), left ovary (21.5%), right ovary (18.5%). Location of endometriosis on MRI: myometrium (42,6%), left ovary (25,5%), right ovary (23,4%). Average CA-125 concentration: 78.99±59.31 UI/ML, most from 35-100 UI/ml (53.1%).  Treatment is mainly medical (66%), surgical (34%). In medical treatment, combined oral contraceptives are used the most (57.6%).  Laparoscopic surgery accounts for 57.4%, open abdominal surgery accounts for 42.6%. The average hospital stay after laparoscopic surgery was 4.47 ± 1.57 days, shorter than the average laparoscopic surgery, which was 5.20 ± 1.25 days (p < 0.05).