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盆腔外子宫内膜异位症22例临床分析

Clinical analysis of 22 cases of extra-pelvic endometriosis

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【作者】 李志英张士伟范庆春

【Author】 LI Zhi-ying,ZHANG Shi-wei,FAN Qing-chun(Department of Gynecology and Obstetrics, total hospetal of tian jin medical university, China Tianjin 300052)

【机构】 天津医科大学总医院妇产科天津医科大学总医院妇产科 天津300052天津300052天津300052

【摘要】 目的 :探讨盆腔外子宫内膜异位症(内异症)病因及治疗方法。方法 :对1991年12月至2000年12月经手术及病理证实的盆腔外子宫内异症22例进行回顾性分析。结果 :22例盆腔外子宫内异症 (18例腹壁、4例会阴部位 )发病平均年龄34.5岁。19/22例 (86.36 %)腹壁及会阴部位肿块在月经期明显增大及疼痛加重 ,全部病例行病灶切除。结论 :盆腔外子宫内异症一旦发病应积极的手术切除 ,如果病灶较大术后可应用治疗子宫内异症药物3~6个月以防复发。

【Abstract】 Objective: To study the cause of extra-pelvic endometriosis and the treatment for the disease.Methods:22 cases with extra-pelvic endometriosis, who operated and confirmed by pathology in Tianjin Medical University General Hospital from 12.1999-12.2000, were retrospectively analysed.Results:The average age of 22 cases with extra-pelvic endometriosis, which 18 cases occurred in the abdominal wall and 4 cases in the vulva, were 34.5. 19/22 (86.36%) showed the mass in the abdominal wall and the vulva obviously increase and felt pain during menstruation.All the patients were treated by operation.Conclusion:Extra-pelvic endometriosis should be surgically removed once the diagnosis is demonstrated.If the mass is very large and in order to prevent from relapse, drug treatment should be used for 3~6 months after operation.

  • 【文献出处】 天津医科大学学报 ,Journal of Tianjin Medical University , 编辑部邮箱 ,2002年01期
  • 【分类号】R711.71
  • 【被引频次】2
  • 【下载频次】27
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