卵巢型子宫内膜异位症178例临床分析

The clinical analysis of 178 patients with the ovarian endometriosis

目的:探讨卵巢型子宫内膜异位症的临床特点及预防措施.方法:对178例卵巢型子宫内膜异位症患者的临床资料进行了回顾性分析.结果:178例卵巢型子宫内膜异位症患者年龄15～45岁157例(88.20%),不孕27例(15.17%),有妇科手术史135例(75.84%),月经改变114例(64.04%).合并子宫腺肌症及子宫肌瘤97例(54.49%).临床结合B超确诊率为60.11%,误诊率为39.89%.结论:卵巢型子宫内膜异位症可能与经血逆流及月经频发、体内雌激素高有关;临床上需结合临床表现、B超检查、CA125测定以提高卵巢型子宫内膜异位症的术前诊断率.

Objective: To study the clinical features and phylactic methods of the ovarian endometriosis, to improve our knowledge and the accuracy of diagnosis. Methods: 178 patients with ovarian endometriosis were studied restrospectively from January 2001 to April 2004. Results: The fertile women (157,88.20%) were predominantly affected with ovarian endometriosis. The incidence of infertility, gynecological surgical history, menstrual changes were 15.17%, 75.84%, 64.04% respectively. Complications of ovarian endometriosis were myomas and adenomyosis. The rate of the diagnosis of clinic combined with B ultrasound was 60.11%. The rate of misdiagnosis was 39.89%. Conclusion: Ovarian endometriosis may be associated with retrograde menstruation、and polymenorrhea, estrogen. Diagnosis must be combined with many factors.