不同类型子宫内膜异位症临床特点及意义分析

Analysis of Clinical Characteristics and Significance of Differen Types of Endometriosis

目的探讨不同类型子宫内膜异位症临床特点及意义。方法选取在我院患有盆腔子宫内膜异位症的患者240例,根据不同类型分为A组(腹膜型)、B组(卵巢型)、C组(混合型),每组各80例,对比三组的临床特点之间的差异。结果 A组和C组的单侧发生率低于B组(P<0.05);A组的痛经发生率低于B组以及C组(P<0.05);C组的早期患者低于B组以及A组(P<0.05)。结论经血逆流造成的内膜种植学说可能是内异症发病机制的基础学说,腹膜型可能是先期病理改变。早期发现尤为重要,手术当中一定要高度警惕有无内异症病灶,缓解患者的疼痛,对患者生育以及降低复发起到良好的促进作用。

] Objective To investigate the clinical characteristics and significance of different types of endometriosis. Methods 240 patients with pelvic endometriosis in our hospital were selected. They were divided into A group （peritoneum type）, B group （ovary type） and C group （mixed type） according to different types, 80 cases in each group. The difference between the clinical features of the three groups was compared. Results The unilateral incidence of group A and C was lower than that in group B （P 〈 0.05）. The incidence of dysmenorrhea in group A was lower than that in group B and group C （P 〈 0.05）. The early patients in group C were lower than group B and group A （P 〈 0.05）. Conclusion The theory of endometrium implantation caused by reverse fow of blood may be the basic theory of the pathogenesis of endometriosis, and the peritoneum may be the frst pathological change. Early detection is particularly important. During operation, we must be highly vigilant about whether there are lesions of endometriosis, relieve pain, and play a good role in promoting fertility and reducing relapse.