Diagnóstico etiológico de endometriosis en mujeres de edad fértil en población de 25 a 35 años estudio enfocado en la presentación topográfica y clínica de la endometriosis en el Centro Médico Aprofe de Guayaquil durante el período 2018
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2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La endometriosis es una de las principales causas de síndrome doloroso abdominal en mujeres infértiles con antecedente de alteraciones durante el ciclo menstrual. El propósito de este estudio es determinar cuáles son las localizaciones más frecuentes de las lesiones endometriales en el Centro Medico Aprofe de Guayaquil, mediante un análisis observacional indirecto y retrospectivo. De un total de 265 pacientes con diagnóstico de endometriosis durante el 2018, tenemos que su edad promedio fue de 33,17 años (DS 5,2), mayor predisposición estatus social bajo con el 71%, Índice de masa corporal con sobrepeso en el 68%, sin gestas en 111 casos de 265 registrados, uso de terapia hormonal anticonceptiva en el 32%, cuya clínica era compatible con endometriosis en el 90% de los casos (dismenorrea 51%, dispareunia 27%, dolor pélvico 12% y metrorragia 10%), cuya principal complicación era infertilidad en el 55% y localización más frecuente en el ovario en el 50% de los casos, ligamento ancho 27%, útero 19% y fuera de cavidad pélvica en el 4%, imagenologicamente hablando la laparoscopia diagnostica se realizó en apenas el 3% (positiva en el 2%) y la ecografía en el 92% (positiva en el 75%).
Endometriosis is one of the main causes of abdominal pain syndrome in infertile women with a history of alterations during the menstrual cycle. The purpose of this study is to determine which are the most frequent locations of endometrial lesions in the Aprofe Medical Center of Guayaquil, through an indirect and retrospective observational analysis. Out of a total of 265 patients diagnosed with endometriosis during 2018, we have that their average age was 31.37 years (SD 2.8), education predominantly the primary level with 54%, low social status with 71%, Body mass index with overweight in 68%, without feats in 111 cases of 265 registered, use of hormonal contraceptive therapy in 32%, whose clinical was compatible with endometriosis in 90% of cases (dysmenorrhea 51%, dyspareunia 27 %, pelvic pain 12% and metrorrhagia 10%), whose main complication was infertility in 55% and more frequent localization in the ovary in 50% of the cases, broad ligament 27%, uterus 19% and outside the pelvic cavity in 4%, imageologically speaking, diagnostic laparoscopy was performed in only 3% (positive in 2%) and ultrasound in 92% (positive in 75%).
Endometriosis is one of the main causes of abdominal pain syndrome in infertile women with a history of alterations during the menstrual cycle. The purpose of this study is to determine which are the most frequent locations of endometrial lesions in the Aprofe Medical Center of Guayaquil, through an indirect and retrospective observational analysis. Out of a total of 265 patients diagnosed with endometriosis during 2018, we have that their average age was 31.37 years (SD 2.8), education predominantly the primary level with 54%, low social status with 71%, Body mass index with overweight in 68%, without feats in 111 cases of 265 registered, use of hormonal contraceptive therapy in 32%, whose clinical was compatible with endometriosis in 90% of cases (dysmenorrhea 51%, dyspareunia 27 %, pelvic pain 12% and metrorrhagia 10%), whose main complication was infertility in 55% and more frequent localization in the ovary in 50% of the cases, broad ligament 27%, uterus 19% and outside the pelvic cavity in 4%, imageologically speaking, diagnostic laparoscopy was performed in only 3% (positive in 2%) and ultrasound in 92% (positive in 75%).
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Endometriosis, Infertilidad, Etiología, Edad fértil, Estudios retrospectivos, Centro Médico APROFE, Cantón Guayaquil, Ecuador