195例青春期盆腔子宫内膜异位症临床病例分析

发布时间：2018-05-07 19:53

本文选题：子宫内膜异位症 + 青春期　；参考：《现代妇产科进展》2017年01期

【摘要】：目的:分析青春期盆腔子宫内膜异位症(EMs)患者的临床资料,探讨早期发现、早期治疗EMs的重要性。方法:收集我院1999年3月至2015年8月经手术确诊的195例青春期盆腔EMs患者的临床资料,按r-AFS不同分期(I、II期和III、IV期)、有无梗阻性生殖道畸形、畸形组内异症严重程度分组,回顾分析各组的平均年龄、初潮年龄、痛经、BMI、延迟诊断时间、彩超诊断准确性及误诊情况等。结果:III、IV期组患者的平均年龄、延迟诊断时间大于I、II期组,痛经发生率及彩超诊断准确率高于I、II期组,合并生殖道畸形概率低于I、II期组,差异有统计学意义(P0.05)。生殖道畸形组患者的平均年龄、延迟诊断时间小于无畸形组,痛经发生率、彩超诊断准确率、重度内异症比例低于无畸形组,误诊率高于无畸形组,差异有统计学意义(P0.05)。结论:盆腔EMs是青春期女性的一种严重进展性疾病,早期发现、诊断及治疗是延缓疾病进展、保护青春期女性生育能力的重要途径。
[Abstract]:Objective: to analyze the clinical data of pubertal pelvic endometriosis and explore the importance of early detection and early treatment of EMs. Methods: the clinical data of 195 patients with puberty pelvic EMs diagnosed by operation from March 1999 to August 2015 in our hospital were collected. According to the different stages of r-AFS, there were no obstructive genital tract malformations and severe degree of endometriosis in different stages of r-AFS. The average age, menarche age, dysmenorrhea BMIs, delayed diagnosis time, diagnostic accuracy and misdiagnosis were analyzed retrospectively. Results the average age, delayed diagnosis time, dysmenorrhea rate and accuracy rate of color Doppler ultrasonography were higher in the stage IV group than in the stage II group, and the probability of complicated genital tract malformation was lower than that in the stage II group, the difference was statistically significant (P 0.05). The average age, delayed diagnosis time, incidence of dysmenorrhea, diagnostic accuracy of color Doppler ultrasound, proportion of severe endoses were lower in the group of genital tract malformation than those in the group without malformation, the misdiagnosis rate was higher than that in the group without malformation, and the difference was statistically significant (P 0.05). Conclusion: pelvic EMs is a serious progressive disease in adolescent women. Early detection, diagnosis and treatment is an important way to delay the progression of disease and protect the reproductive ability of adolescent women.
【作者单位】：浙江大学医学院附属妇产科医院;浙江省衢州市人民医院;
【分类号】：R711.74

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