20例阴道子宫内膜异位症的诊治体会

1983年3月～1992年2月,我科共收治子宫内膜并位症(含子宫腺肌症)242例。其中阴道内膜异位症20例,占妇科住院病人的0.49%;占各种内膜异位症的8.26%。阴道内膜异位症好发于后穹窿,80%合并盆腔其他部位内膜异位症。诊断一般不困难,但也有3例误诊,药物治疗基本无效。以半保守性手术或局部病灶切除为宜。

Experience from Diagnosis and Treatment for 20 Cases with Vaginal Endometriosis

Of 242 patients with endometriosis including adenomyosis in our hospital from March, 1983 to Feb, 1992, 20 cases were vaginal endometriosis. It occupies 0.49% of Gynecologic Patients and 8.26% of Total Endometriosis. Vaginal endometriosis were often found in the posterior fornix. In 80% of the patients it combined with other pelvic endometriosis. The diagnosis was generally not difficult except for 3 cases of misdiagnosis. pharmacotherapy had little effect. So we suggest half conservative surgery or local resection of foci.