罕见子宫内膜异位在外科误诊的病例分析

The Analyze of Misdiagnosis of Unusual Sit of Endometriosis in Surgery

目的探讨罕见子宫内膜异位误诊原因及教训.方法总结7例罕见部位子宫内膜异位患者的发病年龄、部位、类型、并发症及手术方式,重点分析其发病机制、临床表现及误诊原因.结果1例异位至硬脊膜,2例异位至肺,2例异位至输尿管,2例异位至消化系统.结论罕见宫内膜异位术前确诊率低,在临床上应予重视.

Objective To explore the reasons of misdiagnosis of unusual sits of endometriosis.Methods We analyzed the age, the site, the type, the complication and the operation methods of 7 cases of unusual endometriosis in our hospital, and paid more attention to analyzing the pathogenesis, clinical symptoms and the cause of misdiagnosis. Results One case was dural endometriosis. Two cases were pneumonic endometriosis. Two cases were ureteral endometriosis. Two cases were gastroenteric endometriosis. Conclusion The diagnosis rate of unusual endometriosis is low before operation. Clinical surgeon have to attach importance to unusual endometriosis.