远处种植的子宫内膜异位症(附22例临床分析)

A Clinical Analysis of 22 Cases With Distant-Planted Endometriosis

目的 :总结内异症中较少见的一类———远处种植的临床表现和诊断。方法 :将 2 2例远处种植的内异症与85例盆腔内种植的内异症比较 ,回顾分析远处种植的内异症的临床特点及诊断要点。结果 :远处种植的内异症的临床特点上 ,误首诊非妇产科 ,误治疗于非妇产科及误诊率 ,与盆腔内种植的相比具显著性差异 ;病因学上 ,发病年龄、宫腔内手术史率及不孕史率 ,与盆腔内种植的皆无显著性差异。结论 :远处种植的内异症具有其临床特点 :病因与盆腔内内异症无异 ;诊断上应掌握局部症状的多样性 ,了解其特点 ;治疗以手术为主 。

Objective:To summarize the clinical characteristic of this kind of lower incidence rate of the Distant-Planted endometriosis. Methods:The clinical characteristic and diagnosis of 22 cases of the Distant-Planted endometriosis comparing with 85 cases of Pelvic endometriosis were retrospectedly analysed.Results:In the clinical characteristic of the Distant-Planted endometriosis,these rates of mistake-first-examine-in-non-department-of-gynaecology-and-obstetrics,mistake-be-in-hospital and misdiagnosis,have significantly different compared with these of the Pelvic endometriosis;in the etiology of the Pelvic endometriosis,the age of fall-ill,the rate of barren and the rate of operation-in-uterus,had no significant difference compared with this of the Pelvic endometriosis.Conclusion:In order to facilitate with making a diagnosis and giving treatment in clinic,sum up these lower incidence rate of endometriosis to the Distant-Planted endometriosis,enhance the knowledge of Distant-Planted endometriosis in doctors of non-department of gynecology and obstetrics. The cause of Distant-Planted endometriosis has no difference with Pelvic kidney endometriosis.In diagnosis of this disease,we should comprehend of the diversity of focus symptom and the common of clinical characteristic.In the treatment of this disease,we should give priority to operation,assistant with the treatment of hormone and so on.