论文部分内容阅读
我们1993年以来发现7例肛旁子宫内膜异位症患者在确诊前在本院或外院被误诊误治,患者年龄为28~35岁,平均32.2岁。病程1~3年,2~5年前均有过分娩时会阴侧切史,伤口甲级愈合6例,乙级愈合1例。主要症状:肛旁皮下肿块1~3年,经期增大、胀痛不适。经后一周症状减轻,周期性发作,肿块逐渐增大,症状加重。诊断及治疗经过:1例患者在当地卫生院误诊为肛旁脓肿行脓肿切排术,术后2个月症状复发,4例患者被误诊为肛瘘行肛瘘切除术(其中一例在本院误诊),术后8~13个月均复发;另2例患者在本院诊断为肛旁肿瘤行肿瘤切除术,术后至今未复发。
Since 1993, we found that 7 cases of patients with perianal endometriosis were misdiagnosed and mistakenly treated in our hospital or outside hospital before the diagnosis. The patients were 28 to 35 years old with an average of 32.2 years old. Duration of 1 to 3 years, 2 to 5 years ago have had a history of perineal episiotomy, wound healing in 6 cases of grade A, B grade in 1 case. The main symptoms: 1 to 3 years of perianal subcutaneous mass, menstrual increase, pain and discomfort. After a week to reduce the symptoms, recurrent seizures, the mass gradually increased, the symptoms worsened. Diagnosis and treatment after: 1 patient misdiagnosed as a perianal abscess in the local hospital abscess incision surgery, 2 months after the recurrence of symptoms, 4 patients were misdiagnosed as anal fistula resection of the fistula (one case of misdiagnosis in this hospital) , 8 to 13 months postoperative recurrence; the other two patients diagnosed as perianal tumor in our hospital tumor resection, has not relapsed since the operation.