30岁以下妇女子宫内膜异位症发病原因与不孕关系探讨

DISCUSSION ABOUT REASON OF ENDOMERTRIOSIS IN WOMEN UNDER 30 YEARS OLD AND THE RELATION BETWEEN ENDOMETRIOSIS AND STERILITY

目的探讨30岁以下患者子宫内膜异位症发病原因及与不孕关系。方法回顾在我科住院手术治疗确诊的子宫内膜异位症患者临床资料。结果子宫内膜异位症年青患者占46.8%。其中未婚患者占22.06%,已婚患者33.82%不孕不育,33.82%患者有妊娠史,所有患者均无其它手术史及妇科病史。17.65%者其母有痛经史。结论子宫内膜异位症的发生自身情况占主要条件,内异症是引起不孕的主要原因之一,Ⅰ期患者术前受孕率高,为85.71%。而Ⅲ期,Ⅳ期患者受孕率为零,Ⅰ期患者治疗上对尚未生育患者来说可暂时予保守治疗,减少手术机率与创伤,对Ⅲ期,Ⅳ期患者来说,手术则可提高受孕率。痛经是主要症状之一,有一定的遗传性,不可忽视尚未婚育及已婚患者的痛经症状,应积极治疗,减少不孕症发生。常见病变部位在卵巢,以左侧多见。

Objective To study the reason of endometriosis in women under 30 years old and the relation between endometfiosis and sterility. Methods Reivewing the eases of medometfiosis who was treated in our department. Results 46. 8% of the total having endometriosis. Among them, the virgin occupied 22.06% ,the married one, who was diagnosed as inferlity made up to 33. 82%, 3. 82% of them had ever pregnancy, an patients had not taken operation or gotten gynopathy before, the mother of the proportion of 17.65% of the patients had dysmenorrhca. Conclusion The self factor play a key role in the happening of the endometriosis. Patients who have I period endo- metfiosis have high pregnant rate （85.71% ） before operation, and these patients can been cured conservatively. The patients who have Ⅲ and Ⅳ period can not pregnancy, so operating can make high pregnancy rate. Dysmenorrher can be transmitted from the mother to the danghter, the synptiom painful menstruation of the married womem or the unmarried, it should have enough attention, systematical examination, and regular cure, in order to reduce the rate of infertertililty, The endometriosis often happen in the ovaries, especially in the left.