CAJ | 학술논문

目的探讨盆腔外子宫内膜异位症(简称内异症)患者的临床表现、诊断、治疗及术后用药与复发的关系.方法回顾性分析郑州大学第三附属医院2003年4月至2010年4月收治的67例经病理证实的盆腔外内异症患者,其中腹壁内异症54例(包括脐部1例),会阴内异症6例,其他内异症共7例(包括阴道后穹窿5例、阴道壁2例).结果盆腔外内异症依据典型临床症状及辅助检查多可明确诊断,行手术切除后随访1～7年,复发率为12.3％,其中术后用药者中复发率为10.5％,未用药者复发率为13.2％,两组比较差异无统计学意义(P＞0.05).结论手术是治疗盆腔外内异症最有效的方法,术后应用抗内异症药物不能有效降低复发率.
목적 탐토분강외자궁내막이위증(간칭내이증)환자적림상표현、진단、치료급술후용약여복발적관계.방법 회고성분석정주대학제삼부속의원2003년4월지2010년4월수치적67례경병리증실적분강외내이증환자,기중복벽내이증54례(포괄제부1례),회음내이증6례,기타내이증공7례(포괄음도후궁륭5례、음도벽2례).결과 분강외내이증의거전형림상증상급보조검사다가명학진단,행수술절제후수방1～7년,복발솔위12.3％,기중술후용약자중복발솔위10.5％,미용약자복발솔위13.2％,량조비교차이무통계학의의(P＞0.05).결론 수술시치료분강외내이증최유효적방법,술후응용항내이증약물불능유효강저복발솔.
Objective To investigate the clinical manifestation,diagnosis,treatment and the relationship between postoperative medical therapy and the recurrence of extrapelvic endometriosis.Methods The medical records of 67 patients with pathologically proven extrapelvic endometriosis from April 2003 to April 2010 in the Third Affiliated Hospital of Zhengzhou University were retrospectively reviewed,including 54 cases of abdominal wall endometriosis ( including I case of mesogastrium),6 cases of perineum endometriosis,7 cases of others(including 5 cases of posterior formix of vagina and 2 cases of vagina wall).Results Extrapelvic endometriosis can be diagposed through the typically clinical symptoms and accessory examination.The l -7 years ' follow-up investigation showed that the relapse rate was 12.3％,10.5％ for postoperative medication group and 13.2％ for non-medication respectively,there was no significant difference between the two groups (P ＞ 0.05).Conclusions Surgery is the most effctive way to cure extrapelvic endometriosis,medical therapy after surgery can not reduce the recurrence rate effectively.