会阴子宫内膜异位症临床研究

目的探讨会阴子宫内膜异位症的诊断和处理。方法对我院1995～2007年收治的10例会阴内异症病例进行回顾性分析，术后随诊1～8年。结果会阴内异症占我院同期内异症的0．64％，我院会阴内异症发生率为0．95／万。根据临床表现及病理检查，10例均诊断正确。除1例外，均有会阴撕裂或侧切史；发病潜伏期为28岁以前多在1年以内，30岁以上多在1年以上，两者间有显著性差异（P〈0．05）。会阴内异症病灶完整切除10例，随诊6个月～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 Perineal Endometriosis

Objective To report the diagnosis and treatment of 10 cases with perineal endometriosis. Methods 11 patients with PE treated in our department from 1995 to 2007 were analyzed retrospectively and were followed for 0.5～7.0 years. Results The incidence of PE was 0.64% of total endometriosis cases operated and in our hospital the incidence was 0.95/ten thousand. Their diagnosis was confirmed with clinical manifestations and pathological evidences. All except one had history of perineal tearand episiotomy. The latent period of patient who was less than 30 years old was within one year. The latent period of patient who was more than 30 years old was more than one year（P〈 0.05）. Complete surgical excision with a cure rate of 91%（ 10/11 ）. Conelusion PE is mainly diagnosed by clinical manifestations. Surgical excision is the first choice of treatment.