宫颈子宫内膜异位症24例临床分析

目的：探讨宫颈子宫内膜异位症的病因病机、诊断治疗及预防措施。方法：对病理确诊的24例宫颈子宫内膜异位症的组织病理、临床表现、治疗结果进行分析。结果：病理确诊的24例宫颈子宫内膜异位症患者中88.0%有流产或分娩史;96%的患者接受过宫颈手术或宫颈物理治疗;有4.0%无分娩或流产史、无宫颈手术和物理治疗史;阴道镜诊断与病理诊断符合率为96.0%;接受超频电刀环切术（LEEP）治疗患者有效率为93.8%;接受局部病灶切除术治疗者有效率为87.5%。结论：宫颈子宫内膜异位症预防的关键是减少和避免宫颈损伤,宫颈治疗如LEEP、微波、冷冻、阴道镜活检等尽量选择在月经净后3~5 d进行,同时嘱患者保持积极乐观的心态,避免劳累。

Clinical analysis of 24 cases of cervical endometriosis

Objective： To investigate the effect of cervical endometriosis pathogenesis,diagnosis,treatment and preventive measures. Methods： Twenty-four patients with cervical endometriosis who were diagnosed by pathological examination were selected,their tissue pathology, clinical manifestation, treatment results were analyzed. Results： Among 24 patients who were diagnosed by pathological examination,88% of patients had history of abortion or childbirth; 96% of patients received cervical operation or cervical physical therapy; 4% no childbirth or abortion,no cervical operation and physical treatment history; colposcopy diagnosis and pathologic diagnosis were accorded with 96%. The effective rate of patients received loop electrosurgical excision procedure（ LEEP） was 93. 8%; patients＇ effective rate received local resection treatment was 87. 5%. Conclusion： The key of prevention is to reduce and avoid injury of cervical,cervical treatment such as LEEP,microwave,freezer, colposcopy biopsy,which should be chosen in 3 ~ 5 days after menstrual clean. At the same time,patients should maintain a positive and optimistic attitude,avoid overwork.