摘要: 目的：探讨卵巢型子宫内膜异位症的临床特点及预防措施。方法：对178例卵巢型子宫内膜异位症患者的临床资料进行了回顾性分析。结果：178例卵巢型子宫内膜异位症患者年龄15~45岁157例(88.20%)，不孕27例(15.17%)，有妇科手术史135例(75.84%)，月经改变114例(64.04%)。合并子宫腺肌症及子宫肌瘤97例(54.49%)。临床结合B超确诊率为60.11%，误诊率为39.89%。结论：卵巢型子宫内膜异位症可能与经血逆流及月经频发、体内雌激素高有关；临床上需结合临床表现、B超检查、CA125测定以提高卵巢型子宫内膜异位症的术前诊断率。

    关键词：卵巢型子宫内膜异位症； 诊断； 预防

    The clinical analysis of 178 patients with the ovarian endometriosis

    DU Rong, DIN Yan

    (Department of Gynecology, Xinjiang Medical University, Urumqi 830054, China)

    Abstract: Objective: To study the clinical features and phylactic methods of the ovarian endometriosis, to improve our knowledge and the accuracy of diagnosis. Methods: 178 patients with ovarian endometriosis were studied restrospectively from January 2001 to April 2004. Results: The fertile women (157,88.20%) were predominantly affected with ovarian endometriosis. The incidence of infertility, gynecological surgical history, menstrual changes were 15.17%, 75.84%, 64.04% respectively. Complications of ovarian endometriosis were myomas and adenomyosis. The rate of the diagnosis of clinic combined with B ultrasound was 60.11%. The rate of misdiagnosis was 39.89%. Conclusion: Ovarian endometriosis may be associated with retrograde menstruation、and polymenorrhea, estrogen. Diagnosis must be combined with many factors. ......