青少年子宫内膜异位症六例临床分析

目的：探讨青少年子宫内膜异位症（内异症）患病的临床症状,诊断及治疗,方法：回顾分析6例青少年内异位患者的临床资料。结果：6例青少年内异症患者占同期妇科青少年住院患者的1．8％（6／339）,6例患者均有严重慢性腹痛,其中4例合并生殖道畸形,6例患者手术前全部误诊,均经手术剔除异位内膜囊肿并行生殖道矫形术,除1例患者多次复发,其余患者预后良好,结论：内异症是引起青少年慢性腹痛的常见原因,在青少年中表现可以不典型,生殖道畸形是引起青少年内异症的主要原因,对于有慢性下腹痛的青少年患者应警惕内异症的发生,治疗应是腹腔镜及药物治疗并用。

Endometriosis in adolescents: analysis of 6 cases

Objective To review the diagnosis and treatment of endometriosis in adolescents and to evaluate the surgical and medical treatment options for this special population Method To review the 6 cases of adolescent endometriosis and to review the literature research Results Three hundred and ninety nine cases under age 18 had undergone gynecological operation So the incidence among this period is 1 8% (6/339) in hospitalized adolescents Four cases have complicated genital tract anomalies Preoperative diagnosis is rare Good prognosis is expected in most patients Only 1 case relapsed 9 years after medical therapy Endometriosis is the most common cause of chronic pelvic pain in adolescents There may be a natural progression of endometriosis from atypical lesions in adolescents to classic lesions in adults Congenital abnormalities of the reproductive tract are the main reason for the adolescent endometriosis Conclusions Endometriosis should be strongly suspected in adolescent with chronic pelvic pain especially with no response to oral contraceptives and nonsteroidal antiinflammatory medicine The treatment involves the surgical operation and medicine