深部型宫颈子宫内膜异位囊肿合并子宫腺肌病1例报告并文献复习

Cervical endometriosis with adenomyosis:a case report and literature review

目的探讨深部型宫颈子宫内膜异位症合并子宫腺肌病的临床表现、诊断方法和治疗要点。方法报道2020年5月就诊于福建医科大学附属福建省妇幼保健院的1例深部型宫颈子宫内膜异位囊肿合并子宫腺肌病患者的临床资料及诊治经过,并对相关文献进行系统性回顾。结果本例患者并无明显临床症状,宫颈子宫内膜异位囊肿为深部型,同时合并子宫腺肌病,行腹腔镜子宫切除术治疗,预后良好。结论宫颈子宫内膜异位症的发病机制尚不明确,缺乏特异性临床表现,治疗方法亦未形成统一共识。对于深部型患者如无生育要求或合并其他子宫病变时,可考虑行全子宫切除术治疗。

Objective To discuss the pathogenesis,clinical manifestations,diagnosis and treatment of cervical endometriosis with adenomyosis.Methods The clinical data,diagnosis and treatment of the deep cervical endometriosis patient with adenomyosis who was collected in Fujian Maternity and Child Health Hospital,Affiliated Hospital of Fujian Medical University in May 2020 were analyzed,and the related literatures were reviewed systematically.Results The patient had no obvious clinical symptoms.Cervical endometriosis cyst was of deep type.Laparoscopic hysterectomy was performed and the prognosis was good.Conclusion The pathogenesis of cervical endometriosis is not clear,the lack of specific clinical manifestations,treatment methods have not formed a consensus.Hysterectomy may be considered for patients with deep type if no fertility requirement or other uterine lesions are present.