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目的:探讨宫颈子宫内膜异位症的病因病机、诊断治疗及预防措施。方法:对病理确诊的24例宫颈子宫内膜异位症的组织病理、临床表现、治疗结果进行分析。结果:病理确诊的24例宫颈子宫内膜异位症患者中88.0%有流产或分娩史;96%的患者接受过宫颈手术或宫颈物理治疗;有4.0%无分娩或流产史、无宫颈手术和物理治疗史;阴道镜诊断与病理诊断符合率为96.0%;接受超频电刀环切术(LEEP)治疗患者有效率为93.8%;接受局部病灶切除术治疗者有效率为87.5%。结论:宫颈子宫内膜异位症预防的关键是减少和避免宫颈损伤,宫颈治疗如LEEP、微波、冷冻、阴道镜活检等尽量选择在月经净后3~5 d进行,同时嘱患者保持积极乐观的心态,避免劳累。
Objective: To explore the etiology and pathogenesis of cervical endometriosis, diagnosis and treatment and preventive measures. Methods: The pathological diagnosis of 24 cases of cervical endometriosis histopathology, clinical manifestations, treatment results were analyzed. RESULTS: Of the 24 patients with pathologically diagnosed cervical endometriosis, 88.0% had a history of miscarriage or childbirth; 96% received cervical surgery or cervical physiotherapy; 4.0% had no history of labor or abortion; no cervical surgery and The coincidence rate of colposcopy diagnosis and pathological diagnosis was 96.0%. The effective rate was 93.8% in LEEP group and 87.5% in local lesion group. Conclusion: Cervical endometriosis prevention is the key to reduce and avoid cervical injury, cervical treatment such as LEEP, microwave, frozen, colposcopy biopsy and other options as long as 3-5 days after menstruation net clean, and instruct patients to maintain positive and optimistic Mentality, avoid fatigue.