Wang Han-bi, Zhu Lan, Lang Jing-he, Liu Zhu-feng, Sun Da-wei, Leng Jin-hua, Fan Qing-bo
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Beijing 100730, China.
Zhonghua Yi Xue Za Zhi. 2007 May 8;87(17):1181-3.
To investigate the diagnosis and treatment of perineal endometriosis.
The clinical date of 30 patients with perineal endometriosis, aged 32.3 (23 approximately 44), who were admitted 1983 - 2006, operated on, and followed up for 0.5 approximately 13 years, were analyzed.
The incidence of perineal endometriosis was 0.32% among the total endometriosis cases. Five of these 30 patients (16.7%) suffered from perineal endometriosis combined with pelvic endometriosis. The latent period was 4 months to 13 years. There was no significant difference in onset of age. All patients had cyclical and painful lesions. The level of CA125 was normal. All patients were cured after complete surgical excision.
Diagnosis of perineal endometriosis can be made based on the patients' history and clinical manifestations. Surgical excision is the first choice of treatment. The recurrent rate of the cases without anal sphincter involvement is lower than that with anal sphincter invasion since the complete incision can be made. It is important to evaluate pre-operatively if the anal sphincter is involved.
探讨会阴子宫内膜异位症的诊断与治疗。
对1983年至2006年收治的30例会阴子宫内膜异位症患者的临床资料进行分析，患者年龄32.3岁（23至44岁），均接受手术治疗，并随访0.5至13年。
会阴子宫内膜异位症在所有子宫内膜异位症病例中的发生率为0.32%。这30例患者中有5例（16.7%）合并盆腔子宫内膜异位症。潜伏期为4个月至13年。发病年龄无显著差异。所有患者均有周期性疼痛性病变。CA125水平正常。所有患者经手术完全切除后均治愈。
会阴子宫内膜异位症可根据患者病史及临床表现作出诊断。手术切除是首选治疗方法。未累及肛门括约肌的病例复发率低于累及肛门括约肌的病例，因为可以进行完整切除。术前评估是否累及肛门括约肌很重要。
