摘要
目的:探讨会阴子宫内膜异位症(内异症)的诊断、治疗以及预防措施。方法:对会阴内异症侵犯肛门括约肌的59例患者行临床特征分析,3例用药物治疗,56例行手术治疗。结果:会阴内异症占同期内异症的0.88%。其典型临床特征为既往有阴道分娩及会阴切开史。药物治疗仅能控制病情进展,不能根除病变。手术切除者,1例术中损伤直肠,术后形成直肠阴道瘘,换药1个多月瘘口闭合。随访2～8年56例无复发。结论:依据典型病史,会阴肛门指检,可以做出正确诊断,手术切除内异症病变是主要治疗手段。分娩、会阴切开、缝合的规范操作是预防此病的关键。
Objective: To discuss the diagnosis, treatment and prevention of endometriosis of perineum. Methods: Fifty-nine cases with endometriosis of perineum which encroached upon the sphincter ani were collected, including 3 cases treated with medicine and 56 cases treated with surgery. Results: The endometriosis of perineum accounted for 0.88 % of all endometriosis in the same period. The typical clinical feature was vaginal delivery and perineotomy histories. The disease could be controlled but could not be removed by medicine. Vaginorectal fistula after surgery formed in one case among all surgery cases and was closed several months after dressing change. There was no relapse during the period of follow-up by 2～8 years. Conclusion: Correct diagnosis can be made by typical history and vaginal-rectal touch. Excision of endometriosis lesion is the main therapy method. Delivery, perineotomy and normative suture are the key of prevention.
出处
《天津医药》
CAS
北大核心
2005年第6期353-354,共2页
Tianjin Medical Journal
