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目的探讨青春期子宫内膜异位症的临床特征、诊断和治疗方法。方法对199602-200412温州医学院附属一、二院妇产科20例青春期子宫内膜异位症患者的临床资料进行回顾性分析。结果青春期子宫内膜异位症患者就诊的主要症状为盆腔包块和痛经,以Ⅲ、Ⅳ期患者居多。血清CA125和超声诊断的符合率分别为27.8%(5/18)、50%(10/20)。术后用药组的复发率明显低于术后未用药组(P<0.05)。结论血清CA125和超声均不能协助诊断青春期子宫内膜异位症。腹腔镜是主要的确诊和治疗手段,术后用药可减少复发率。
Objective To investigate the clinical features, diagnosis and treatment of adolescent endometriosis. Methods The clinical data of 20 cases of adolescent endometriosis in the first and second hospital affiliated to Wenzhou Medical College from 199602-200412 were analyzed retrospectively. Results The main symptoms of adolescent endometriosis were pelvic mass and dysmenorrhea, with the majority of patients in stage Ⅲ and Ⅳ. The coincidence rates of serum CA125 and ultrasound were 27.8% (5/18) and 50% (10/20) respectively. The recurrence rate of the postoperative medication group was significantly lower than that of the postoperative non-medication group (P <0.05). Conclusion Serum CA125 and ultrasound can not help diagnose adolescent endometriosis. Laparoscopy is the main diagnosis and treatment, postoperative medication can reduce the recurrence rate.