盆腔外子宫内膜异位症22例临床分析  

Clinical analysis of 22 cases of extra-pelvic endometriosis

作　　者：李志英[1] 张士伟[1] 范庆春[1] 

机构地区：[1]天津医科大学总医院妇产科,天津300052

出　　处：《天津医科大学学报》2002年第1期59-60,69,共3页Journal of Tianjin Medical University

摘　　要：目的 :探讨盆腔外子宫内膜异位症(内异症)病因及治疗方法。方法 :对1991年12月至2000年12月经手术及病理证实的盆腔外子宫内异症22例进行回顾性分析。结果 :22例盆腔外子宫内异症 (18例腹壁、4例会阴部位 )发病平均年龄34.5岁。19/22例 (86.36 %)腹壁及会阴部位肿块在月经期明显增大及疼痛加重 ,全部病例行病灶切除。结论 :盆腔外子宫内异症一旦发病应积极的手术切除 ,如果病灶较大术后可应用治疗子宫内异症药物3～6个月以防复发。Objective: To study the cause of extra-pelvic endometriosis and the treatment for the disease.Methods:22 cases with extra-pelvic endometriosis, who operated and confirmed by pathology in Tianjin Medical University General Hospital from 12.1999-12.2000, were retrospectively analysed.Results:The average age of 22 cases with extra-pelvic endometriosis, which 18 cases occurred in the abdominal wall and 4 cases in the vulva, were 34.5. 19/22 (86.36%) showed the mass in the abdominal wall and the vulva obviously increase and felt pain during menstruation.All the patients were treated by operation.Conclusion:Extra-pelvic endometriosis should be surgically removed once the diagnosis is demonstrated.If the mass is very large and in order to prevent from relapse, drug treatment should be used for 3～6 months after operation.

关 键 词：子宫内膜异位症 腹壁瘢痕 会阴侧切术 临床分析 

分 类 号：R711.71[医药卫生—妇产科学]