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195例青春期盆腔子宫内膜异位症临床病例分析

范素鸿 林开清 马俊彦 林俊

现代妇产科进展2017,Vol.26Issue(1):19-22,4.
现代妇产科进展2017,Vol.26Issue(1):19-22,4.DOI:10.13283/j.cnki.xdfckjz.2017.01.004

195例青春期盆腔子宫内膜异位症临床病例分析

Clinical analysis on 195 adolescent women with pelvic endometriosis

范素鸿 1林开清 2马俊彦 1林俊1

作者信息

  • 1. 浙江大学医学院附属妇产科医院,杭州 310006
  • 2. 浙江省衢州市人民医院,衢州 324000
  • 折叠

摘要

Abstract

Objective:To find its important to detect and treat earlier pelvic endometri-osis by analyzing the data of adolescent patients. Methods:The data of 195 adolescent patients with pelvic endometriosis were collected and confirmed by surgery from 1999 to 2015 . They were devided into groups according to r-AFS( Ⅰ,Ⅱ,Ⅲ,Ⅳ) ,genital malformation and its severity in endometriosis,respectively. The age,age of menarche,dysmenorrhea,BMI,delayed diagnosis time,the diagnostic accuracy of ultrasound and misdiagnosis were retrospectively compared be-tween groups. Results:The data showed that older age,longer delayed diagnosis time,higher in-cidence rate of dysmenorrhea and diagnostic accuracy rate of ultrasound were detected in women with stage Ⅲ,Ⅳ endometriosis,compared with those with stage Ⅰ,Ⅱ (P<0. 05). Meanwhile,the younger age,lower incidence rate of dysmenorrheal and diagnostic accuracy rate of ultrasound, shorter delayed diagnosis time,less severe cases were found in the genital-malformation group, however,more misdiagnosed cases were in the genital-malformation group (P<0. 05). Conclu-sion:Pelvic endometriosis is a developing and severe disease in adolescents. Its early detection and treatment are important,by which the adolescent female fertility is protected.

关键词

子宫内膜异位症/青春期/痛经/腹腔镜/诊断

Key words

Endometriosis/Adolescence/Dysmenorrhea/Laparoscopic/Diagnosis

分类

医药卫生

引用本文复制引用

范素鸿,林开清,马俊彦,林俊..195例青春期盆腔子宫内膜异位症临床病例分析[J].现代妇产科进展,2017,26(1):19-22,4.

基金项目

国家自然科学基金资助项目(No:81370694) (No:81370694)

现代妇产科进展

OA北大核心CSCDCSTPCD

1004-7379

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