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20年来收治子宫内膜异位症253例,后5年的患病率为4.9％,较前15年有显著增长。根据病变部位内在型为136例(53.75％),外在型为92例(36.36％),混合型为25例(9.38％)。症状与病理类型间有一定联系。由于部分患者(29.24％)无特征性症状,故术前确诊率仅38.73％。本组行根治性手术165例,保留单侧附件37例,保留生育功能手术18例,其他33例。远期疗效观察示保留生育功能手术后的受孕率有50％,年龄在40岁以下者酌情保留一侧卵巢,可免过早出现更年期综合征症状。
In the past 20 years, 253 cases of endometriosis have been treated, and the prevalence after 5 years is 4.9%, which shows a significant increase over the previous 15 years. There were 136 cases (53.75%) of the internal parts of the lesions, 92 cases (36.36%) of the extroverted cases and 25 cases (9.38%) of the mixed cases. Symptoms and pathological types have some connection. Because some patients (29.24%) had no characteristic symptoms, the preoperative diagnosis rate was only 38.73%. The group of 165 cases of radical surgery, leaving unilateral attachment in 37 cases, retained fertility surgery in 18 cases, the other 33 cases. Long-term efficacy of the observation showed that retention of fertility function after surgery, the pregnancy rate of 50%, under 40 years of age, as appropriate, to retain the side of the ovary, may avoid premature menopausal syndrome symptoms.