195例青春期盆腔子宫内膜异位症临床病例分析  

Clinical analysis on 195 adolescent women with pelvic endometriosis

作　　者：范素鸿[1,2] 林开清[1] 马俊彦[1] 林俊[1] 

机构地区：[1]浙江大学医学院附属妇产科医院,杭州310006 [2]浙江省衢州市人民医院,衢州324000

出　　处：《现代妇产科进展》2017年第1期19-22,共4页Progress in Obstetrics and Gynecology

基　　金：国家自然科学基金资助项目(No:81370694)

摘　　要：目的:分析青春期盆腔子宫内膜异位症(EMs)患者的临床资料,探讨早期发现、早期治疗EMs的重要性。方法:收集我院1999年3月至2015年8月经手术确诊的195例青春期盆腔EMs患者的临床资料,按r-AFS不同分期(I、II期和III、IV期)、有无梗阻性生殖道畸形、畸形组内异症严重程度分组,回顾分析各组的平均年龄、初潮年龄、痛经、BMI、延迟诊断时间、彩超诊断准确性及误诊情况等。结果:III、IV期组患者的平均年龄、延迟诊断时间大于I、II期组,痛经发生率及彩超诊断准确率高于I、II期组,合并生殖道畸形概率低于I、II期组,差异有统计学意义(P<0.05)。生殖道畸形组患者的平均年龄、延迟诊断时间小于无畸形组,痛经发生率、彩超诊断准确率、重度内异症比例低于无畸形组,误诊率高于无畸形组,差异有统计学意义(P<0.05)。结论:盆腔EMs是青春期女性的一种严重进展性疾病,早期发现、诊断及治疗是延缓疾病进展、保护青春期女性生育能力的重要途径。Objective：To find its important to detect and treat earlier pelvic endometriosis by analyzing the data of adolescent patients.Methods：The data of 195 adolescent patients with pelvic endometriosis were collected and confirmed by surgery from 1999 to 2015.They were devided into groups according to r-AFS（ I,II,III,IV）,genital malformation and its severity in endometriosis,respectively.The age,age of menarche,dysmenorrhea,BMI,delayed diagnosis time,the diagnostic accuracy of ultrasound and misdiagnosis were retrospectively compared between groups.Results：The data showed that older age,longer delayed diagnosis time,higher incidence rate of dysmenorrhea and diagnostic accuracy rate of ultrasound were detected in women with stage III,IV endometriosis,compared with those with stage I,II（ P0.05）.Meanwhile,the younger age,lower incidence rate of dysmenorrheal and diagnostic accuracy rate of ultrasound,shorter delayed diagnosis time,less severe cases were found in the genital-malformation group,however,more misdiagnosed cases were in the genital-malformation group（ P 0.05）.Conclusion：Pelvic endometriosis is a developing and severe disease in adolescents.Its early detection and treatment are important,by which the adolescent female fertility is protected.

关 键 词：子宫内膜异位症 青春期 痛经 腹腔镜 诊断 

分 类 号：R711.74[医药卫生—妇产科学]