会阴子宫内膜异位症的临床分析

目的：探讨会阴子宫内膜异位症（内异位）的诊断和处理。方法：对1院1983－2000年收治的11例会阴内异症病例进行回顾性分析,术后随诊0．5－7．0年。结果：会阴内异症占我院同期内异症的0．37％,我院会阴内异症发生率为0．87／万。根据临床表现及病理检查,11例均诊断正确。除1例外,均有会阴撕裂或侧切史;发病潜伏期,30岁以前多在1年以内,30岁以上多在1年以上,两者差异有显著性（P＜0．05）。会阴内异症病灶完整切除10例,随诊6个月至7年,无复发。结论：根据典型的病史和身体检查,可以对会阴切口内异症做出正确诊断;手术切除为主要治疗方法。

Clinical analysis of 11 cases with perineal endometriosis

Objective To report the diagnosis and treatment of 11 cases with perineal endometriosis (PE). Methods Eleven patients with PE treated in our department from 1983-2000 years were analyzed retrospectively and were followed for 0 5-7 0 years Results The incidence of PE is 0 37% of total endometriosis cases operated in our department or 0 087 per thousand of total episiotomy undergone in our delivery room during the 18 year period Their diagnosis were confirmed clinical manifestations and pathological evidences All except one had history of perineal tear and episiotomy 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 years ( P <0 05). Complete surgical excision with a cure rate of 91% (10/11) Conclusions PE is mainly diagnosed by clinical manifestations Surgical excision is the first choice of treatment