1例肛周子宫内膜异位症病例报告  

Perianal endometriosis:a case report

作　　者：倪红 孙松朋[1] 龙俊红 霍兴霄 梁隆雨 褚洪川 周洋阳 Ni Hong;Sun Songpeng;Long Junhong;Huo Xingxiao;Liang Longyu;Chu Hongchuan;Zhou Yangyang(Department of Anorectal Surgery,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院肛肠科,北京100700

出　　处：《结直肠肛门外科》2024年第3期374-378,共5页Journal of Colorectal & Anal Surgery

摘　　要：子宫内膜异位症的病灶常见于盆腔内,盆腔外的子宫内膜异位症相对少见。肛周子宫内膜异位症罕见而且容易被误诊,手术切除是优选的治疗方式。笔者团队收治了1例青年肛周子宫内膜异位症患者,其曾经阴道分娩1女并出现会阴撕裂,来诊时的临床表现为肛周肿物伴周期性疼痛。该患者未接受妇科专科诊治,其后再次妊娠并历经剖宫产1子后肛周病灶缓慢消退至肉眼不可见状态。本文报告该患者的诊疗过程和随访结果,与同道交流。Endometriosis lesions are commonly found within the pelvic cavity,while extrapelvic endometriosis is relatively rare.Perianal endometriosis is a particularly uncommon condition that is prone to misdiagnosis,and surgical excision is the preferred treatment approach.Our team encountered a young patient with perianal endometriosis who suffered a perineal laceration in vaginal delivery for one female baby.At presentation,the patient manifested with a perianal mass accompanied by cyclic pain.The patient did not receive specialized diagnosis and treatment from the department of gynecology,and the perianal lesion slowly regressed to a point where it was no longer visible to the naked eye after another pregnancy and cesarean delivery for one male baby.This article reports the patient’s diagnosis and treatment along with follow-up results,aiming to share our experience with colleagues.

关 键 词：子宫内膜异位症 肛周肿物 疾病管理 

分 类 号：R711.7[医药卫生—妇产科学]