肛周子宫内膜异位症临床诊疗分析——附9例病例报告  

An Analysis on Clinical Diagnosis & Treatment of Perianal Endometriosis:a Report of 9 Cases

作　　者：杜进波 曹波 曹萌 王越飞 DU Jin-bo;CAO Bo;CAO Meng;WANG Yue-fei(Guizhou University of TCM,Guiyang,Guizhou 550002;Coloproctological Dept.,the 1st A ffiliated Hospital of Guizhou University of TCM,Guiyang,Guizhou 550002)

机构地区：[1]贵州中医药大学,贵州贵阳550002 [2]贵州中医药大学第一附属医院肛肠科,贵州贵阳550002

出　　处：《中国肛肠病杂志》2019年第6期54-55,共2页Chinese Journal of Coloproctology

摘　　要：为探讨肛周子宫内膜异位症误诊误治的原因及最佳治疗方法,回顾性分析贵州中医药大学第一附属医院肛肠科收治的9例肛周子宫内膜异位症的诊疗过程,尤其是其中的典型病例。结果显示,9例患者年龄29~45岁,妊娠年龄(26.2±5.4)岁,曾妊娠1~5次,均有阴道分娩史,并行会阴侧切或会阴裂伤修补术。其中5例曾被误诊为肛周囊肿、肛周脓肿或肛瘘。结果表明,该病发病率不高,尚未引起肛肠科医师重视,目前也未形成专家共识,临床缺乏诊疗指南的指导,故误诊率非常高。In order to seek optimum therapy for perianal endometriosis(PE)and the cause of miseliagnosis& mistreatment of it,author retrospectively analysed the diagnosis &treatment course of 9 cases with PE admitted in author’s department,specially,classic cases in 9 cases.As results,the 9 cases’ age were from 29 to 45,their pregnancy age was(26.2±5.4)yr.,the times of pregnancy were 1-5 times,all had vaginal delivery history and received lateral episiotomy or repair for perineal broken injury,5 cases were misdiagnosed as cyst,perianal abscess or fistula in ano.Results show that the incidence of PE is not high,which has not been paid attention to by coloproctological dept.doctors,and there is no expert consensus at present,there is a lack of guidance in clinical diagnosis and treatment,so the rate of misdiagnosis is very high.

关 键 词：子宫内膜异位症 肛周 诊疗 

分 类 号：R711.71[医药卫生—妇产科学]