输卵管子宫内膜异位症21例临床分析.PDFVIP

现代妇产科进展 2002 年 7 月第 11 卷第 4 期 　Prog Obstet Gynecol ,July 2002 ,Vol. 11 ,No. 4 ·论著· 输卵管子宫内膜异位症 21 例临床分析 张信美 ,石一复 ,林 　俊 (浙江大学医学院附属妇产科医院 ,杭州 　310006) ( ) 【摘要】　目的:探讨输卵管子宫内膜异位症 TEM 的临床特征及可能发病的有关因 素。方法 : 回顾分析21 例 TEM 患者的临床资料。结果 :输卵管浆膜肌层子宫内膜异位 6 例 ,输卵管粘膜肌层子宫内膜异位 15 例 ; TEM 合并输卵管积水 8 例。TEM 无其他盆腔子 ( ) ( ) 宫内膜异位病灶 13 例 13/ 21 ,其中有输卵管结扎手术史者占 84. 62 % 11/ 13 。TEM 结 合其他盆腔子宫内膜异位病灶临床分期 , Ⅰ期10 例 , Ⅱ期7 例 , Ⅲ期 1 例 , Ⅳ期 3 例 ;而单 纯为 TEM 临床分期 , Ⅰ期17 例 , Ⅱ期4 例。结论 :输卵管结扎术可能是诱发 TEM 的高危 因素;子宫输卵管造影术有助于 TEM 的诊断 ,但确诊仍需要病理检查 ; 治疗 TEM 可选择 保守性手术治疗。 【关键词】　输卵管 ;子宫内膜异位症 ;病理 ,临床 ( ) 中图分类号:R711. 71 　文献标识码 :A 　文章编号 :1004 - 7379 2002 04 - 0265 - 03 Clinical analysis of 21 cases with tubal endometriosis. Zhang Xinmei , Shi Yifu , Lin Jun . Wom en ’s Hospital , Zhejiang University School of Medicine , Hangzhou 310006 【Abstract 】Objective :To investigate the clinical characteristics and etiological factors of tubal endometriosis( TEM) . Methods :Retrospective analysis of 21 cases with TEM was carriedout. Re sults : Six cases with subserous salpinx endometriosis ,15 cases with mucosal and muscular oviduct endometriosis and 8 TEM cases complicated withhydrosalpinx were found respectively. Thirteen out of 21 TEM cases were found without any other pelvicendometriosis and 84. 62 % of TEM cases had past tubal sterillization ( 11/ 13) . Ten cases ,7 cases ,1 case and 3 cases were for stage Ⅰ, Ⅱ, Ⅲand Ⅳ respectively when staging with other pelvic endometriosis. Seventeen cases and 4 cases were for stage Ⅰand Ⅱrespectively when staging witho