医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2013年
8期
24-25,26
,共3页
会阴%子宫内膜异位症%诊断%治疗
會陰%子宮內膜異位癥%診斷%治療
회음%자궁내막이위증%진단%치료
目的：探讨会阴子宫内膜异位症的诊断和处理。方法：对我院18年来11例会阴子宫内膜异位症的病例进行回顾性分析，并作术后随诊。结果：会阴子宫内膜异位症的发生率非常低，我院会阴伤口异位症的发生率为8．7/万。11例病例均诊断正确。会阴子宫内膜异位症的发病潜伏期，30岁以前患者多在一年以内，30岁以上患者多在一年以上，两者有显著差异（P＜0．05）。会阴子宫内膜异位症均行完整切除，药物治疗。随诊3个月至7年，10例未复发。结论：典型的病史和体格检查可以对会阴伤口子宫内膜异位症做出准确的诊断。手术切除为主要治疗方法。
目的：探討會陰子宮內膜異位癥的診斷和處理。方法：對我院18年來11例會陰子宮內膜異位癥的病例進行迴顧性分析，併作術後隨診。結果：會陰子宮內膜異位癥的髮生率非常低，我院會陰傷口異位癥的髮生率為8．7/萬。11例病例均診斷正確。會陰子宮內膜異位癥的髮病潛伏期，30歲以前患者多在一年以內，30歲以上患者多在一年以上，兩者有顯著差異（P＜0．05）。會陰子宮內膜異位癥均行完整切除，藥物治療。隨診3箇月至7年，10例未複髮。結論：典型的病史和體格檢查可以對會陰傷口子宮內膜異位癥做齣準確的診斷。手術切除為主要治療方法。
목적：탐토회음자궁내막이위증적진단화처리。방법：대아원18년래11례회음자궁내막이위증적병례진행회고성분석，병작술후수진。결과：회음자궁내막이위증적발생솔비상저，아원회음상구이위증적발생솔위8．7/만。11례병례균진단정학。회음자궁내막이위증적발병잠복기，30세이전환자다재일년이내，30세이상환자다재일년이상，량자유현저차이（P＜0．05）。회음자궁내막이위증균행완정절제，약물치료。수진3개월지7년，10례미복발。결론：전형적병사화체격검사가이대회음상구자궁내막이위증주출준학적진단。수술절제위주요치료방법。
Objective :To demonstrate the appropriate diagnosis and treatment of perineal endometriosis .Methods :Eleven patients in our department during 18 years were retrospectively analysed .Postoperative follow -up was carried out .Results :The incidence of perineal endo-metriosis is quite rare .The incidence of endometriosis at the episiotomy site is 0 .0087% in our department during 18 years .Eleven patients were diagnosed correctly .The latent period of patient who was less than 30 years old is within one year .The latent period of patient who was more than 30 years old is more than one year (P<0 .05) .The treatment of choice is complete surgical excision of endometrial tissue .Medical treatment generally considered an assistant therapy .Ten patients obtain permanent cure during follow - up period which arranged from 3months to 7 years .Conclusion :The typical clinical history and local findings enable us to make the correct diagnosis of perineal endometrio-sis at episiotomy site .Surgical excision of the perineal endometriosis is the first choice .
