77例未育患者首发卵巢子宫内膜异位囊肿病因分析  

Etiological analysis of first ovarian endometriosis cysts on 77 patients with not fertility

作　　者：敖明珠[1] 孙秀静[1] 孙林[1] 

机构地区：[1]辽宁省大连市妇产医院,辽宁大连116000

出　　处：《中国当代医药》2012年第16期31-32,共2页China Modern Medicine

摘　　要：目的探讨卵巢子宫内膜异位囊肿形成是否与既往妇科手术及既往流产史有关。方法选择2007年1月～2011年12月在本院手术的首发卵巢子宫内膜异位囊肿的77例患者为研究组,同期因卵巢囊肿手术的116例患者为对照组。回顾分析研究组与对照组患者的年龄、肿瘤大小,肿瘤性质,流产史、既往妇科手术史,妇科手术时机,如有卵巢手术史则分析既往卵巢手术方式等情况。结果研究组既往有妇科非内膜异位症手术史的患者比例为40.26%,对照组为23.28%,两者差异有统计学意义(P<0.05)。研究组既往有流产史的患者比例为49.35%,对照组为31.90%,两者差异有统计学意义(P<0.05)。结论目前卵巢子宫内膜异位囊肿发病率高,其形成原因可能与人工流产次数增多、既往妇科手术史,手术时机及手术方式均有关系,同时正确的手术时机及卵巢处理方式对卵巢子宫内膜异位囊肿的产生可能有较大的影响。Objective To assess whether the ovarian endometriosis cyst formation was associated with previous gynaecological surgery and the past history of abortion.Methods A total of 77 patients with laparoscopically diagnosed ovarian endometriosis cyst were evaluated from January 2007 to December 2011 in our hospital as the study group,because of ovarian cyst operation in the same period of 116 patients as the control group.A retrospective study was performed in ages,tumor size,tumor characteristics,history of abortion,past history of gynecological surgery,surgery time and surgical approach between the study group and control group.Results In study group the history ratio of had gynecological operation for non-endometriosis was 40.26%,in control group was 23.28%,there were significantly difference between the two groups（P 0.05）.The ratio of patients with a history of abortion in study group was 49.35% and in the control group was 31.90%.And there were significant difference between the two groups（P 0.05）.Conclusion At present ovarian endometriosis cyst high rate,the forming reason may and abortion number increase,always gynecological surgery history,the operation time and surgery entail relationship,and correct operation time and ovarian treatments on ovarian endometriosis cysts may produce has great effects.

关 键 词：卵巢 子宫内膜异位 囊肿 病因 

分 类 号：R711.75[医药卫生—妇产科学]