会阴腹壁子宫内膜异位症的临床分析

Clinical analysis of 14 cases with perineal and abdominal wall endometriosis

目的:探讨会阴、腹壁子宫内膜异位症(内异症)的诊断和处理。方法:对该院1991～2002年收治的14例会阴、腹壁内异症病例进行回顾性分析。结果:根据临床表现及病理检查,14例均诊断正确。4例会阴内异症均有会阴撕裂或侧切史,10例腹壁切口内异症均有剖宫产史。发病潜伏期,30岁以前多在1年以内,30岁以上多在1年以上。会阴内异症完整切除3例,腹壁内异症完整切除10例,随访1～5年无复发。结论:根据典型的病史和体检,可以对会阴、腹壁内异症做出正确诊断;手术切除为主要治疗方法。

Objective To explore the diagnosis and treatment of 14 cases with pe rineal and abdominal wall endometriosis. Methods 14 patients with perineal and a bdominal wall endometriosis treated in our department from 1991 to 2002 were ana lyzed retrospectively. Results Diagnosis of 14 cases were confirmed according to clinical manifestations and pathological evidences. Among 14 cases,4 cases wit h perineal endometriosis had history of perineal tear and episiotomy,10 cases w ith abdominal wall endometriosis had history of celiohysteromy. The latent perio d of patient who was less than 30 years old is within one year. The latent perio d of patient who was more than 30 years old is more than one years (P<0.05). 3 c ases with perineal endometriosis and 10 cases with abdominal wall endometriosis were excised totally. Conclusion Perineal endometriosis and abdominal wall endom etriosis are mainly diagnosed by clinical manifestations. Surgical excision is t he first choice of treatment.