摘要：Objective:This study was undertaken to analyze the frequency and the determ.nants of long-term.clinically detectable recurrence rate of deep,ovarian,and pelvic endom.triosis. Study design:The clinical data of 1106 wom.n with first diagnosis of endom.triosis observed between 1979 and 2001 were collected. Results:The 4-year recurrence rate was 24.6%,17.8%,30.6%and 23.7%,respectively,for cases of ovarian,pelvic,deep,and ovarian and pelvic endom.triosis (P < .05). The recurrence rates decreased in all groups (with the exception of ovarian endom.triosis) in the class age 34 years or older,these findings were significant (P < .05). Radicalitywas associated with lower recurrence rates in all the groups. A pregnancy after diagnosis was associated with a reduced risk of recurrence. Conclusion:The study shows that the recurrence rates of endom.triosis were higher in case of deep endom.triosis and that the risk factors for recurrence were sim.lar am.ng wom.n with endom.triosis at different sites.

摘要：Objective:This study was undertaken to determ.ne the frequency of postsurgical ovarian failure in patients undergoing laparoscopic excision of bilateral endom.triom.s. Study design:Patients who had been operated on for bilateral ovarian endom.triosis between January 1995 and Decem.er 2003 and who were younger than 40 years at the tim. of surgery were contacted by telephone and interviewed. Results:Atotal of 126 patients were recruited. m.an ±SD age of patients at the tim. of surgery was 30.4 ±4.3 years. Postsurgical ovarian failure was docum.nted in 3 cases,corresponding to a rate of 2.4%(95%CI 0.5%-6.8%). In all cases,this com.lication occurred im.ediately after surgery. Conclusion:Patients who had been operated on for bilateral endom.triom.s have a low but definite risk of prem.ture ovarian failure occurring im.ediately after surgery.