特殊部位子宫内膜异位症32例临床分析

Analysis of 32 cases with endometriosis in the special areas

目的探讨特殊部位子宫内膜异位症(EM)的临床诊断及治疗。方法回顾分析32例特殊部位EM患者的临床资料。结果 29例腹壁EM血清CA125水平均无升高,其中26例表现为与月经相关的周期性胀痛、并有逐渐增大的触痛结节。3例直肠阴道隔EM患者均有肛门坠痛、重度痛经及性交痛,三合诊时均可触及直肠阴道隔结节;血清CA125水平升高者2例。32例均行手术治疗,切除病灶经病理检查证实为EM。结论特殊部位EM可根据典型症状、体征和超声诊断。手术是治疗特殊部位EM的有效手段。

Objective To investigate the diagnosis and treament of endometriosis（EM） in the special areas.Methods Data of 32 patients with EM were retrospectively analyzed,of whom EM lesions located in the abdominal wall in 29 cases and in the rectovaginal septum in 3 cases.ResultsSerum CA125 level was not significantly increased in 29 cases with abdominal wall EM,of whom 26 patients complained of menstruation-related cyclical strain with growing tenderness nodules.Three EM cases with the lesions at the rectovaginal septum had the symptoms of menstruation-related periodic strain,severe dysmenorrhea and deep dyspareunia,of whom the EM nodules were palpable by vaginal and rectal examination and increased CA125 was detected in 2 cases.Surgical resection of EM lesions was performed in all 29 cases and EM was diagnosed pathologically.Conclusion EM in the special areas can be diagnosed by tipical clinical symptoms,physical examination and ultrasonography.Surgery is effective in the treatment of EM in the special areas.