【摘要】 目的:探讨特殊部位子宫内膜异位症的病因、临床特征、治疗及预防。方法:对49例特殊部位子宫内膜异位症进行临床分析。结果:阴道分娩侧切、剖宫术切口及阴道、外阴、宫颈损伤后形成的子宫内膜异位病灶多为子宫内膜种植所致。异位子宫内膜受卵巢激素影响,病灶易出现结节、肿块,并周期性增大伴疼痛,药物治疗效果差,应早期首选手术治疗。结论:减少产时宫腔操作,避免子宫膜内膜组织脱落、遗留在伤口是预防这些部位子宫内膜异位症的关键。更多还原

【Abstract】 Objective: To evaluate the pathogenesis, clinical characteristics, treatment and prevention of endometriosis in special part. Methods: 49 cases of endometriosis in special part were studied retrospectively. Results: The endometriosis mainly in special part include the cut wounds of vaginal labor or cesarean section and injured vulva, vaginal or cervix. The lesion was caused by endometrium plantation. The endometrium outside of uterus was influenced by ovarian hormone regulation, and the focus would be changed regularly to node or mass companied with pain. Drug treatment was ineffective, and operation would be chosen early. Conclusion: To reduce the operation in uterus during labor and to avoid the endometrium leaving in the cut wounds are the keys of prevention of endometriosis in these parts.更多还原