生殖医学杂志2008，Vol.17Issue(z1)：53-55,3.DOI:10.3969/j.issn.1004-3845.2008.z1.011
Clinical presentation and management of perineal endometriosis with anal sphincter involvement: a report of 26 cases
Clinical presentation and management of perineal endometriosis with anal sphincter involvement: a report of 26 cases
Wang Han-bi 1Zhu Lan 1Lung Jing-he 1Liu Zhu-feng 1Sun Da-wei 1Leng Jin-hua 1Fan Qing-bo1
作者信息
- 1. Department of Obstetrics & Gynecology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China
- 折叠
摘要
Abstract
Objective:To study the clinical presentation and treatment of patients with perineal endometriosis with anal sphincter involvement.Method:The clinical data of 26 patients with perineal endometriosis who were operated on during 1983-2007 in our hospital,and followed up for 0.5-14 years(average 32 months),were analyzed.Results:The incidence of perineal endometriosis with anal sphincter involvement was 0.21% among the total endometriosis cases in Peking Union Medical College Hospital,China.All patients had cyclical and painful lesions.The levels of CA125 were mostly normal except seven cases(7/26,26.9%)with anal sphincter involvement had re-current diseases because of incomplete excision.When the subsequent surgical resection was complete,there was no further recurrence diagnosed.Conclusions:Diagnosis of perineal endometriosis can be made correctly based on the patient's history and clini-cal manifestations.Complete excision of lesion is the first choice of treatment.The recurrence rate of incomplete ex-cision is high.The surgical excision of lesion is the best treatment for recurrence.Therefore it is important to evalu-ate preoperatively whether the anal sphincter is involved.关键词
Perineum/Endometriosis/Clinical presentation/TreatmentKey words
Perineum/Endometriosis/Clinical presentation/Treatment引用本文复制引用
Wang Han-bi,Zhu Lan,Lung Jing-he,Liu Zhu-feng,Sun Da-wei,Leng Jin-hua,Fan Qing-bo..Clinical presentation and management of perineal endometriosis with anal sphincter involvement: a report of 26 cases[J].生殖医学杂志,2008,17(z1):53-55,3.
