女性生殖道畸形合并子宫内膜异位症185例临床分析

Female Genital Tract Malformation Complicated with Endometriosis:Analysis of 185 Cases

目的探讨女性生殖道畸形与子宫内膜异位症(内异症)的关系,分析不同类型女性生殖道畸形合并内异症的严重程度。方法对2001年1月～2011年3月在我院手术的230例生殖道畸形的临床资料进行回顾性分析。结果 230例生殖道畸形中,合并内异症185例,发生率80.4%(185/230)。梗阻性生殖道畸形合并内异症的发生率为85.0%(17/20),非梗阻性生殖道畸形为80.0%(168/210)。梗阻性生殖道畸形合并内异症Ⅰ期和Ⅱ期占17.6%(3/17),Ⅲ期和Ⅳ期占82.4%(14/17);非梗阻性生殖道畸形合并内异症Ⅰ期和Ⅱ期占69.1%(116/168),Ⅲ期和Ⅳ期占30.9%(52/168)。结论梗阻性生殖道畸形合并内异症严重程度高于非梗阻性生殖道畸形。在进行下腹部腹腔镜手术或开腹手术时,若患者曾有生殖道畸形病史或术中发现女性生殖道畸形,应常规手术探查盆腔是否存在内异症。

Objective To investigate the relationship between female genital tract malfoimation and endometriosis, and to analyze the severity of endometriosis in different types of female genital tract malformation. Methods We retrospectively analyzed the clinical data of 230 patients with female genital tract malformation, who received surgical treatment from January 2001 to March 2011. Results Among the 230 cases, endometriosis was detected in 185 patients （80.4%）. In the patients with obstructive genital tract malformation, the rate of endometriosis was 85.0% （17/20） , and 17.6% （3/17） of the cases were at stages I and lI , and the other 82.4% （14/17） were at stages III and IV; while in those with non-obstructive genital tract malformation, the rate of endometriosis was 80.0% （168/210） , among which, 69.1% （ 116/168 ） were at stages I and 1I , and the other 30.9% （52/168） were at stages III and IV. Conclusions The endometriosis in patient with obstructive genital tract malformation is more severe than that in those with non-obstructive genital tract malformation. During abdominal surgery, pelvic exploration for endometriosis shall be carried out in the patients with history of genital tract malformation, or who was diagnosed with genital tract malformation during the operation.