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目的:对输卵管结扎术和子宫内膜异位症的关系进行分析和探讨。方法:对近5年以来我院输卵管结扎术后腹腔镜检查确诊为子宫内膜异位症的68位患者的临床资料进行回顾性分析。结果:以美国生育学会子宫内膜异位症分期标准为根据对68例腹腔镜检查结果进行分析,其中有36例Ⅰ期,27例Ⅱ期,5例Ⅲ期。所有的68例患者在结扎术之前并未出现子宫内膜异位症的体征症状和病史,在结扎之后出现了进行性的加重痛经以及盆腔痛等症状,在经过一系列的治疗没有效果之后,实施腹腔镜检查确诊为子宫内膜异位症,同时经过镜下取活检证实该病。结论:如果在输卵管结扎术后出现盆腔包块而痛经以及腹痛等现象,必须要及时的实施腹腔镜检查,这样对子宫内膜异位症的早期诊治十分有利。
Objective: To analyze and discuss the relationship between tubal ligation and endometriosis. Methods: The clinical data of 68 patients diagnosed as endometriosis by laparoscopy after tubal ligation in our hospital in recent 5 years were analyzed retrospectively. Results: According to the American Society of Fertility Society staging criteria of endometriosis 68 laparoscopy results were analyzed, of which 36 cases of stage Ⅰ, 27 cases of stage Ⅱ, 5 cases of stage Ⅲ. All 68 patients did not develop signs and symptoms of endometriosis before ligation, progressive dysmenorrhea and pelvic pain symptoms after ligation, and after a series of treatments had no effect, The implementation of laparoscopy diagnosed as endometriosis, while confirmed by biopsy under the microscope confirmed the disease. CONCLUSIONS: Laparoscopy should be performed promptly in case of pelvic masses and dysmenorrhea and abdominal pain after tubal ligation, which is very beneficial for early diagnosis and treatment of endometriosis.