【摘要】 目的探讨中国青少年子宫内膜异位症的发病机理、临床特征、诊断及治疗方法。方法在CNKI、万方、维普上收集与青少年子宫内膜异位症相关的文章,根据入选标准选出相关文献8篇,共计129例患者。计算患者平均发病的年龄、初潮年龄,总结患者主要的症状、病变部位、CA125水平、疾病分期,治疗及随访情况。结果患者就诊时的平均年龄是17.92岁。平均初潮年龄13.63岁,25%患者合并有生殖道畸形。主要症状包括痛经(39.53%)、盆腔包块(30.23%)、慢性盆腔痛(27.13%)、急腹症(8.53%)及不孕症(1.55%)。卵巢是最常见的受累器官(81.40%)。患者均接受了手术治疗,病变严重者术后予以药物辅助治疗。复发率为19.51%。结论青少年子宫内膜异位症的临床表现可以不典型,由生殖道畸形引发的子宫内膜异位症比率较高。对严重痛经及慢性盆腔痛的青少年要警惕子宫内膜异位症的可能。更多还原

【Abstract】 Objective:To explore the etiology,clinical feature,diagnosis and treatment of adolescent endometriosis in China.Methods:CNKI,Wanfang and Weipu electronic database was searched for articals regarding adolescent endometriosis.The key words were “endometriosis”,“adolescents”,“young girl” and “child”.Eight articles meeting the criteria including 129 cases were studied.The constitute ratio of items including age at diagnosis,age at menarche,main complaints,site of lesion,level of serum CA125,TAF-s stage,therapy and prognosis were evalulated.Results:The age at diagnosis was 17.92 years old averagely.The chief complaints were dysmenorrhea (39.53%),pelvic mass (30.23%),chronic pelvic pain (27.13%),acute abdominal pain (8.53%) and infertility (1.55%).Ovary was the most affected organ (81.40%).Conservative surgical therapies were performed in all patients,and medical therapies were followed for advanced patients.The relapse rate was about 19.51%.Conclusion:The symptoms of adolescent endometriosis may be atypical.The rate of the disease caused by genital tract anomalies is high.Adolescent endometriosis should be suspected when severe dysmemorrhea or chronic pelvic pain occured.更多还原