CAJ | 학술논문

目的调查妇科盆腔手术中子宫内膜异位症(EM)的发病情况，为诊断治疗提供依据。方法回顾分析2005年7月~2009年6月北京大学第一临床医学院妇产科的妇科盆腔手术的病例资料。结果①EM在妇科盆腔手术中占21.2%(1249/5895例)；在腹腔镜术中占32.3%(985/3051例)，绝经前占34.1%(977/3051例)；开腹术中占11.8%(254/2145例)；经阴道术中占1.4%(10/699例)。②EM在肌瘤、腺肌病、其它子宫良性病、卵巢良性肿瘤、输卵管良性病中的发病率分别为27.3%、56.4%、37.4%、14.3%、27.3%。结论 EM在妇科盆腔手术育龄患者中发病率较高，尤其在合并子宫腺肌病的患者中，值得临床重视。
목적조사부과분강수술중자궁내막이위증(EM)적발병정황，위진단치료제공의거。방법회고분석2005년7월~2009년6월북경대학제일림상의학원부산과적부과분강수술적병례자료。결과①EM재부과분강수술중점21.2%(1249/5895례)；재복강경술중점32.3%(985/3051례)，절경전점34.1%(977/3051례)；개복술중점11.8%(254/2145례)；경음도술중점1.4%(10/699례)。②EM재기류、선기병、기타자궁량성병、란소량성종류、수란관량성병중적발병솔분별위27.3%、56.4%、37.4%、14.3%、27.3%。결론 EM재부과분강수술육령환자중발병솔교고，우기재합병자궁선기병적환자중，치득림상중시。
Objective To investigate the prevalence of endometriosis in gynecological patients for the basis of diagnosis and treatment. Methods A retrospective study of cases who received laparoscopy in Obstetric & Gynecology department of Peking University first hospital during Jul. 2005 to Jun. 2009. Results (1) The prevalence of endometriosis over the same period of gynecologic surgery is 21.2%. Among laparoscopy,the prevalence is 32.3%,and 34.1% in premenopausal cases. The prevalence in abdominal and vaginal surgery is 11.8%and 1.4%, respectively. (2) The prevalence of endometriosis in uterine fibroids,adenomyosis,other benign uterine diseases,benign ovarian tumors and benign fal opian tubal diseases is 27.3%,56.4%,37.4%,14.3%and 27.3%respectively. Conclusion Endometrial surgery in gynecologic patients have a higher prevalence of reproductive age, especial y in patients with adenomyosis, and worthy of attention.