肺部子宫内膜异位症2例并文献复习  

Pulmonary endometriosis: a study on two cases in light of relevant literature

作　　者：陈永斌 陈富星 陈水芳[3] CHEN Yong-bin ; CHEN Fu-xing ; CHEN Shui-fang(Department of Respiratory;Department of Radiology, The People’s Hospital ofBeilun Ningbo, Ningbo 315800; Department of Respiratory, The FirstHospital Affiliated to Zhejiang University, Hangzhou 310003, China)

机构地区：[1]波市北仑区人民医院呼吸科,浙江宁波315800 [2]宁波市北仑区人民医院放射科,浙江宁波315800 [3]浙江大学医学院附属第一医院呼吸科,浙江杭州310003

出　　处：《健康研究》2018年第5期551-553,共3页Health Research

摘　　要：目的探讨肺部子宫内膜异位症的临床表现、影像学、超声特点,为临床诊治提供参考。方法对2例肺部子宫内膜异位症病例进行资料整理及文献复习。结果 2例肺部子宫内膜异位症患者临床表现为咯血,肺部CT见炎症性改变,结合生育史和月经周期性变化,临床诊断考虑为肺部子宫内膜异位症,行抗炎止血治疗。结论肺部子宫内膜异位症患者临床表现多为咯血、气胸、血胸,肺部CT多见月经周期相关的肺部病变,诊断需结合临床病史、胸部CT,需与肺炎、肺结核进行鉴别。Objective To examine the clinical symptoms,imaging and ultrasound characteristics of pulmonary endometriosis so as to develop scientific technique for clinical diagnosis and treatment of the disease. Methods The clinical data of two patients of pulmonary endometriosis were analyzed in light of relevant literature review. Results The clinical symptoms as observed in the two cases in the study were hemoptysis. Inflammatory changes were observed by pulmonary CT. Given reproductive history and menstrual cycle,the disease was diagnosed as case of pulmonary endometriosis. Then,antiinflammatory hemostasis was conducted. Conclusions The clinical symptoms of pulmonary endometriosis are mostly hemoptysis,pneumothorax and hemothorax. Pulmonary CT is mostly associated with menstrual cycle. The diagnosis should be based on clinical history and chest CT and be differentiated from pneumonia and tuberculosis.

关 键 词：子宫内膜异位症 肺部 咯血 气胸 

分 类 号：R711.71[医药卫生—妇产科学]