摘要
目的：探讨卵巢子宫内膜异位症发病相关因素、诊断及误诊原因、保守性手术治疗与术后复发等。方法：对塘沽医院2003年1月～2008年5月妇科住院83例经术后病理确诊的卵巢子宫内膜异位症患者的临床资料进行回顾性分析。结果：卵巢子宫内膜异位症患者主要症状为盆腔包块、渐进性痛经、腹坠痛、肛门坠痛、性交痛、月经改变、不孕等，多伴盆腔粘连，易破裂导致急腹症，并多合并子宫腺肌病、子宫肌瘤。结论：结合患者发病年龄、病史及其临床特征，借助B超及血清CA125测定，可减少误诊。手术治疗是有效、快速、较彻底的治疗方法，可根据患者年龄、生育要求、症状严重程度、病变范围、既往治疗史、患者个人意愿、对月经及女性生殖器官重视程度等综合分析，达到个体化治疗前提下的最优化。
Objective： To study the related morbidity, diagnosis and misdiagnosis, conservative surgical treatment and recurrence of ovarian eudomettiosis. Methods： 83 cases of ovarian endometriosis patients who had been diagnosed by pathology after Operation in Tanggu Hospital of Tianjin from January 2003 to May 2008 were reviewed. Results： The main symptom of ovarian endometriosis patients included symptoms of pelvic mass, progressive dysmenorrhea, abdominal pain falling, falling anal pain, painful sexual intercourse, menstruation changes, infertility, pelvic adhesions witch more easily led to the breakdown of the acute abdomen and the combined number of adenomyosis, uterine fibroids. Conclusion： Combining age, medical history, clinical characteristics and making use of ultra- B and serum CA125 deterruination can reduce the misdiagnosis. Surgical treatment is effective, rapid and more thorough treatment. It is helpful for the patients with ovarian endometriosis to analyze comprehensively age, fertility requirements, the scope of the disease, previous history of treatment, the individual wishes, the degree of importance to menstruation and female reproductive organs.
出处
《中国妇幼保健》
CAS
北大核心
2011年第2期192-193,共2页
Maternal and Child Health Care of China
